Diabetes Electronic Prompt for Improved Care Coordination and Treatment in the ED

Completed · Not applicable

Conditions studied: Type 2 Diabetes, Type 2 Diabetes Mellitus (T2DM), Hyperglycemia, Insulin Dependent Diabetes

In brief

The goal of this clinical trial is to improve the processes of Type 2 Diabetes (T2D) care coordination and treatment in the emergency department (ED) by utilizing clinical decision support mechanisms in the electronic health record (EHR). The main question is whether electronic prompts triggered by hyperglycemia and elevated A1c results in providers providing earlier treatments and faster time to subsequent primary care appointment and greater reduction in hemoglobin A1c (HA1c). ED clinicians will receive alerts called Our Practice Advisories (OPA's) through the EPIC EHR. The 1st OPA triggers when a random point-of-care (POC) glucose is ≥250 mg/dL, prompting a suggested additional HA1c order. A 2nd OPA triggers if the resulting HA1c is ≥10%, prompting consideration of further care coordination in the Observation Unit. Investigators will compare the outcomes post-intervention compared to pre-intervention.

Key facts

Study ID

NCT06899191

Run by

Rutgers, The State University of New Jersey

People needed

300

Starts

2025-03-30

Expected to finish

2026-04-26

Last updated by the study team

2026-04-30

Who can join

Age: 21 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Moderate hyperglycemia, (glucose ≥250 mg/dL)
• Patients who arrive in the emergency department
• Not pregnant or peri-partum
• Not SARS-COV-2 PCR positive in past 7 days

You may not qualify if…

• Diabetic ketoacidosis (pH < 7.20, HCO3 < 15, AG > 25)
• Diabetic foot ulcer or skin complications
• Hyperglycemic hyperosmolar state with neurologic impairment
• Patients who leave against medical advice (AMA), elope from the ED, or are transferred to another facility

Where it is running

• Rutgers, Robert Wood Johnson Hospital — New Brunswick, New Jersey, United States

Full record on ClinicalTrials.gov

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