Effect of HMA on inpatients management
The total amount of HMA messages for adult inpatients was 9539 during the 15 month test period. Within the Internal Medicine wards (excluding Endocrinology) the HMA rate was: Neurology (93/month), Cardiology + CCU (55/month), and Nephrology (52/month), these being the top three departments in receiving HMA warning messages while Hepatobiliary Surgery (85/month), Vascular Surgery (37/month), and Orthopedics (36/month) were noted as the top three surgical wards receiving HMA alerts (Fig. 1).
The glycemia related consultation (number per month) of all adult inpatients increased by 65.9% in the period of HMA monitoring. The consult rates for the Gastrointestinal Surgery (476%) and Gastroenterology (446.7%) wards increased by more than fourfold, while the rates for Cardiac Surgery (200%) and Hepatobiliary Medicine (218%) were doubled. In contradistinction, a decrease in glycemia related consultations were noted for the Cardiology + CCU (20%) and Neurosurgery (16.4%) wards (Fig. 2).