Addressing Therapeutic Inertia: Development and Implementation of an Electronic Health Record-Based Diabetes Intensification Tool.

Kevin M Pantalone Swapnil RajpathakXinge JiJian JinTracey M WeissJanine BaumanTomas RadivoyevitchMichael W KattanRobert S ZimmermanAnita D Misra-HebertJennifer Brown

Published in: Diabetes spectrum : a publication of the American Diabetes Association (2022)

Utilization of a diabetes intensification tool was low and did not influence rates of A1C goal attainment or time to treatment intensification. The low level of tool adoption is itself an important finding highlighting the problem of therapeutic inertia in clinical practice. Testing additional strategies to better incorporate, increase acceptance of, and improve proficiency with EHR-based intensification tools is warranted.

Keyphrases

electronic health record
type diabetes
clinical practice
clinical decision support
cardiovascular disease
healthcare
adverse drug
primary care
quality improvement
metabolic syndrome
skeletal muscle
weight loss
combination therapy
smoking cessation
replacement therapy