Current Diabetes Reports

, 17:6 | Cite as

Transitioning the Adult with Type 2 Diabetes From the Acute to Chronic Care Setting: Strategies to Support Pragmatic Implementation Success

  • Michelle MageeEmail author
  • Joan K. Bardsley
  • Amisha Wallia
  • Kelly M. Smith
Health Care Delivery Systems and Implementation in Diabetes (ME McDonnell and AR Sadhu, Section Editors)
Part of the following topical collections:
  1. Topical Collection on Health Care Delivery Systems and Implementation in Diabetes


Scientific evidence is available to guide the how to of medications management when patients with diabetes are hospitalized or present to the Emergency Department. However, few clinical trials in the diabetes field have addressed the execution, coupled with established implementation effectiveness evaluation frameworks to help inform and assess implementation practices to support the transition in care. These deficiencies may be overcome by (1) applying the principles of implementation and delivery systems science; (2) engaging the principles of human factors (HF) throughout the design, development, and evaluation planning activities; and (3) utilizing mixed methods to design the intervention, workflow processes, and evaluate the intervention for sustainability within existing care delivery models. This article provides a discussion of implementation science and human factors science including an overview of commonly used frameworks which can be applied to structure design and implementation of sustainable and generalizable interventions.


Implementation effectiveness Implementation science Human factors Diabetes education Implementation frameworks Diabetes management 



Michelle Magee reports grants from the National Institutes of Health (R34 Diabetes To Go Inpatient). Kelly M. Smith reports grants from the National Institutes of Health (1-R34-DK-109503-01 and UL1TR001409).

Compliance with Ethical Standards

Conflict of Interest

Amisha Wallia reports grants from Merck and Eli Lilly.

Michelle Magee, Joan K. Bardsley, and Kelly M. Smith declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article references studies performed by the authors which involves human subjects. All such, studies were approved by the appropriate Institutional Review Board and the informed consent process conducted as appropriate.


Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media New York 2017

Authors and Affiliations

  • Michelle Magee
    • 1
    • 2
    • 3
    Email author
  • Joan K. Bardsley
    • 2
    • 5
  • Amisha Wallia
    • 4
  • Kelly M. Smith
    • 2
  1. 1.MedStar Diabetes InstituteWashingtonUSA
  2. 2.MedStar Health Research InstituteHyattsvilleUSA
  3. 3.Georgetown University School of Medicine and Healthcare SciencesWashingtonUSA
  4. 4.Northwestern University Feinberg School of MedicineChicagoUSA
  5. 5.MedStar Health Corporate NursingHyattsvilleUSA

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