Impact of errors in paper-based and computerized diabetes management with decision support for hospitalized patients with type 2 diabetes. A post-hoc analysis of a before and after study.
A computerized clinical decision support system for inpatient glucose management resulted in fewer clinically significant episodes of abnormal blood sugars compared to a paper-based system. However, user deviations from the recommended computerized protocol were associated with episodes of hyperglycemia. A WebM&M commentary discusses a case in which misuse of a computerized glucose management system resulted in patient harm.