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).