Implementation of App-Based Diabetes Medication Management: Outpatient and Perioperative Clinical Decision Support

• Published in: Current diabetes reports 2021-12, Vol.21 (12), p.50-50, Article 50
• Main Authors: Jang, Jeehoon, Colletti, Ashley A., Ricklefs, Colbey, Snyder, Holly J., Kardonsky, Kimberly, Duggan, Elizabeth W., Umpierrez, Guillermo E., O’Reilly-Shah, Vikas N.
• Format: Article
• Language: English
• Subjects: Decision making; Decision Support Systems, Clinical; Diabetes; Diabetes Mellitus - drug therapy; Electronic Health Records; Health Care Delivery Systems and Implementation in Diabetes (ME McDonnell and AR Sadhu; Humans; Medicine; Medicine & Public Health; Mobile Applications; Outpatients; Section Editors; Topical Collection on Health Care Delivery Systems and Implementation in Diabetes
• ISSN: 1534-4827; 1539-0829
• DOI: 10.1007/s11892-021-01421-4

Purpose of review Outpatient and perioperative therapeutic decision making for patients with diabetes involves increasingly complex medical-decision making due to rapid advances in knowledge and treatment modalities. We sought to review mobile decision support tools available to clinicians for this essential and increasingly difficult task, and to highlight the development and implementation of novel mobile applications for these purposes. Recent findings We found 211 mobile applications related to diabetes from the search, but only five were found to provide clinical decision support for outpatient diabetes management and none for perioperative decision support. Summary We found a dearth of tools for clinicians to navigate these tasks. We highlight key aspects for effective development of future diabetes decision support. These include just-in-time availability, respect for the five rights of clinical decision support, and integration with clinical workflows including the electronic medical record.