Glycemic Control and Insulin Safety: The Impact of Computerized Intravenous Insulin Dosing

Overview

Title:

Glycemic Control and Insulin Safety: The Impact of Computerized Intravenous Insulin Dosing

Authors:

Flanders SJ, Juneja R, Roudebush CP, Carroll J, Golas A, Elias BL

Journal:

Am J Med Qual

Publication date:

2009

Volume:

24

Issue:

6

First page:

489

Last page:

497

ISSN:

1555-824X

Link to pubmed:

http://www.ncbi.nlm.nih.gov/pubmed/19666741

Publication type:

Journal

Free text

Motivating physicians to increase productivity and maximize patient satisfaction may result in conflicted behavior, raising questions about whether one must be sacrificed for the other. To determine if high satisfaction (measured by Press Ganey patient satisfaction survey) can be achieved while maintaining high productivity (measured in McGladrey relative value units, MRVU), longitudinal data collected from January 2002 to July 2004 were modeled using repeated measures regression. A total of 136 000 patient-completed satisfaction questionnaires evaluating 417 physicians were collected for analysis. Patient confidence (positively correlated; P = .001) and physician/patient time (inversely correlated; P = .001) were associated with higher physician productivity. Increases in MRVU were associated with decreases in patient perceptions of time with the physician (P = .003). The relationships between patient satisfaction and physician productivity were relatively small, suggesting that they are not necessarily incompatible and that both can be improved simultaneously.

Preview

Glycemic Control and Insulin Safety: The Impact of Computerized Intravenous Insulin Dosing Flanders SJ, Juneja R, Roudebush CP, Carroll J, Golas A, Elias BL. Am J Med Qual 2009; 24(6):489-497.