Development of a Diabetes Mellitus Knowledge Resource for Clinical Decision Support Assisting Primary Care Physicians With Work-Related Issues

J Occup Environ Med. 2017 Nov;59(11):e236-e239. doi: 10.1097/JOM.0000000000001181.

Abstract

Objective: The aim of this study was to describe the process by which a group of subject matter experts (SMEs) in the area of occupational health and primary care developed a clinical decision support (CDS) tool addressing work-related issues, which are important in the care of patients with diabetes mellitus (DM). The CDS is intended for primary care clinicians caring for employed adults with DM.

Methods: The SME's selected guidelines for the management of DM in working adults, reviewed pertinent literature, and developed specific recommendations for action in the clinical setting.

Results: Multiple factors at work may adversely affect DM management. Clinicians can support working patients through education and care strategies to improve control.

Conclusion: Improved recognition of factors at work that can have an impact on DM care provides opportunities for improved management of DM among working adults.

Publication types

  • Congress
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Decision Support Systems, Clinical*
  • Diabetes Mellitus / blood
  • Diabetes Mellitus / therapy*
  • Drinking
  • Eating
  • Electronic Health Records
  • Glycated Hemoglobin / metabolism
  • Hot Temperature
  • Humans
  • Occupational Health*
  • Physical Exertion / physiology
  • Practice Guidelines as Topic
  • Primary Health Care*
  • Shift Work Schedule
  • Workplace / organization & administration

Substances

  • Glycated Hemoglobin A
  • hemoglobin A1c protein, human