Robert Rushakoff, MD, MS
Professor
Medicine
School of Medicine

Some of my Projects:

Virtual Inpatient Glucose Management Service: Developed and implemented a virtual service to monitor all inpatients who have diabetes (or high glucoses) and if glucoses are elevated, put notes in the chart to direct changes in management. This service has led to a >40% decrease in the number of patients with high glucose levels. As a result of our success, medical centers around the country and the world have successfully started similar services.

Automating insulin dosing for inpatients: For patients who have diabetes (or high glucoses), and are not eating or receiving enteral feedings or total parenteral nutrition, we developed a program in the electronic medical record that automated the determination of the insulin dose based on previous insulin doses and glucose levels. The insulin does is then titrated to the individual patient's needs without the need to write any new insulin orders.

Education: Starting back before 2000, I developed (and have updated) interactive online training for physicians, nurses and pharmacists on all aspects of how to manage inpatients with diabetes (or high glucoses).

Perioperative Glucose Management: We developed an online program that allows physicians and nurses to determine what adjustments in any diabetes medication are needed for patients undergoing any procedure or having surgery.

• Remote Glucose Management for Hospitalized Patients.
  Diabetes Management in Hospitalized Patients 2023 Moon Kyung Choi, Paras B. Mehta, Robert J. Rushakoff
• ODP199 Full Implementation of Automated Self-Adjusting Subcutaneous Insulin Algorithm.
  Journal of the Endocrine Society 2022 Paras Mehta, Michael Kohn, Esther Rov-Ikpah, Craig San Luis, Craig Johnson, Robert Rushakoff
• Response to Letter to the Editor From Banerjee and Mondal: "Management of Hyperglycemia in Hospitalized Adult Patients in Noncritical Care Settings: An Endocrine Society Clinical Practice Guideline".
  The Journal of clinical endocrinology and metabolism 2022 Korytkowski MT, Muniyappa R, Donihi AC, Drincic AT, Hirsch IB, McDonnell ME, Murad MH, Nielsen C, Rushakoff RJ
• Hospital Diabetes Meeting 2022.
  Journal of diabetes science and technology 2022 Huang J, Yeung AM, Nguyen KT, Xu NY, Preiser JC, Rushakoff RJ, Seley JJ, Umpierrez GE, Wallia A, Drincic AT, Gianchandani R, Lansang MC, Masharani U, Mathioudakis N, Pasquel FJ, Schmidt S, Shah VN, …
• Management of Hyperglycemia in Hospitalized Adult Patients in Non-Critical Care Settings: An Endocrine Society Clinical Practice Guideline.
  The Journal of clinical endocrinology and metabolism 2022 Korytkowski MT, Muniyappa R, Antinori-Lent K, Donihi AC, Drincic AT, Hirsch IB, Luger A, McDonnell ME, Murad MH, Nielsen C, Pegg C, Rushakoff RJ, Santesso N, Umpierrez GE
• Inpatient Perioperative Euglycemic Diabetic Ketoacidosis Due to Sodium-Glucose Cotransporter-2 Inhibitors - Lessons From a Case Series and Strategies to Decrease Incidence.
  Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists 2022 Mehta PB, Robinson A, Burkhardt D, Rushakoff RJ
• Discordant Timing of Hypoglycemic Agent Screening Causing Delayed Diagnosis of Sulfonylurea-Induced Hypoglycemia.
  AACE clinical case reports 2022 Folick A, Cheng C, Chu SN, Rick JW, Rushakoff RJ
• Patient-Centered Diabetes Care of Cancer Patients.
  Current diabetes reports 2021 Kotwal A, Cheung YM, Cromwell G, Drincic A, Leblebjian H, Quandt Z, Rushakoff RJ, McDonnell ME
• Identifying Potential Intervention Points for Acute Hypoglycemic Events in Patients With Type 2 Diabetes Using Retrospective Clinical Data.
  Clinical diabetes : a publication of the American Diabetes Association 2021 Lacy ME, Whitmer RA, Lee SJ, Rushakoff RJ, Pletcher MJ
• Lack of association between either outpatient or inpatient glycemic control and COVID-19 illness severity or mortality in patients with diabetes.
  BMJ open diabetes research & care 2021 Mehta PB, Kohn MA, Koliwad SK, Rushakoff RJ
• Case 20: Partial ß-Cell Destruction: An Atypical Case of Immune Checkpoint Inhibitor Diabetes.
  2021 Zoe Quandt, Paras Mehta, Katy Tsai, Victoria Hsiao, Robert Rushakoff
• Case 21: Checkpoint Inhibitor–Induced Diabetes.
  2021 Paras Mehta, Zoe Quandt, Robert Rushakoff
• Continuous Glucose Monitors and Automated Insulin Dosing Systems in the Hospital Consensus Guideline.
  Journal of diabetes science and technology 2020 Galindo RJ, Umpierrez GE, Rushakoff RJ, Basu A, Lohnes S, Nichols JH, Spanakis EK, Espinoza J, Palermo NE, Awadjie DG, Bak L, Buckingham B, Cook CB, Freckmann G, Heinemann L, Hovorka R, Mathioudakis N…
• A Pragmatic Approach to Inpatient Diabetes Management during the COVID-19 Pandemic.
  The Journal of clinical endocrinology and metabolism 2020 Korytkowski M, Antinori-Lent K, Drincic A, Hirsch IB, McDonnell ME, Rushakoff R, Muniyappa R
• A Diabetes and COVID-19 Dilemma: Balancing Parents' Health & Children's Education.
  Journal of diabetes science and technology 2020 Mehta PB, Rushakoff RJ
• Automated Self-Adjusting Subcutaneous Insulin Algorithm for Patients NPO or on TPN or Enteral Feedings.
  Journal of diabetes science and technology 2020 Patzek S, MacMaster HW, Rov-Ikpah E, San Luis C, Johnson C, Juttukonda V, Rushakoff RJ
• Hospital Diabetes Meeting 2020.
  Journal of diabetes science and technology 2020 Umpierrez G, Rushakoff R, Seley JJ, Zhang JY, Shang T, Han J, Spanakis EK, Alexanian S, Drincic A, Kulasa K, Mendez CE, Tanton D, Wallia A, Zilbermint M, Klonoff DC
• Randomized Controlled Trials of Electronic Health Record Interventions: Design, Conduct, and Reporting Considerations.
  Annals of internal medicine 2020 Pletcher MJ, Flaherman V, Najafi N, Patel S, Rushakoff RJ, Hoffman A, Robinson A, Cucina RJ, McCulloch CE, Gonzales R, Auerbach A
• 1030-P: Self-Adjusting Subcutaneous Insulin Algorithm (SQIA) for Patients NPO or on TPN or Enteral Feedings.
  Diabetes 2020 ROBERT J. RUSHAKOFF, ESTHER ROV-IKPAH, CRAIG SAN LUIS, CRAIG JOHNSON, SOPHIE PATZEK, VENKATESWARLU JUTTUKONDA, HEIDEMARIE W. MACMASTER
• Decreasing Hypoglycemia following Insulin Administration for Inpatient Hyperkalemia.
  Journal of hospital medicine 2020 Tran AV, Rushakoff RJ, Prasad P, Murray SG, Monash B, Macmaster H
• Decreasing Hypoglycemia following Insulin Administration for Inpatient Hyperkalemia.
  Journal of hospital medicine 2020 Tran AV, Rushakoff RJ, Prasad P, Murray SG, Monash B, Macmaster H
• SEVERE INSULIN RESISTANCE WITH DIABETIC KETOACIDOSIS AFTER BRENTUXIMAB TREATMENT.
  AACE clinical case reports 2020 Chiang JM, Lai AR, Anderson M, Rushakoff RJ
• Response to Comment on "Letter in Response to Soop et al".
  Annals of surgery 2019 Rushakoff RJ, Wick EC, McDonnell ME
• 2260-PUB: Inpatient Diabetes Patient Brochure: What You Need to Know while You Are in the Hospital.
  Diabetes 2019 ROBERT J. RUSHAKOFF, HEIDEMARIE W. MACMASTER
• A Case Report of Diabetic Ketoacidosis With Combined Use of a Sodium Glucose Transporter 2 Inhibitor and Hybrid Closed-Loop Insulin Delivery.
  Journal of diabetes science and technology 2019 Singh S, Rushakoff RJ, Neinstein AB
• Enhanced Recovery in Patients With Diabetes: Is it Time for a Moratorium on Use of Preoperative Carbohydrate Beverages?
  Annals of surgery 2019 Rushakoff RJ, Wick EC, McDonnell ME
• Response to.
  Annals of Surgery 2019 Robert J. Rushakoff, Elizabeth C. Wick, Marie E. McDonnell
• Development and Implementation of a Subcutaneous Insulin Pen Label Bar Code Scanning Protocol to Prevent Wrong-Patient Insulin Pen Errors.
  Joint Commission journal on quality and patient safety 2018 MacMaster HW, Gonzalez S, Maruoka A, San Luis C, Stannard D, Rushakoff JA, Rushakoff RJ
• Collateral Damage: Insulin-Dependent Diabetes Induced With Checkpoint Inhibitors.
  Diabetes 2018 Stamatouli AM, Quandt Z, Perdigoto AL, Clark PL, Kluger H, Weiss SA, Gettinger S, Sznol M, Young A, Rushakoff R, Lee J, Bluestone JA, Anderson M, Herold KC
• Improving Emergency Insulin Administration.
  JAMA 2018 Rushakoff RJ, Macmaster HW
• Decreasing Incidence of Postinsulin Hypoglycemia for Hyperkalemia Treatment.
  Diabetes 2018 HEIDEMARIE W. MACMASTER, ALLEN TRAN, BRADLEY MONASH, SARA G. MURRAY, PRIYA A. PRASAD, ROBERT J. RUSHAKOFF
• Documentation of Continuous Subcutaneous Insulin Infusion (CSII) Use in the Emergency Department (ED).
  Diabetes 2018 ROBERT J. RUSHAKOFF, JESSICA ZOOK, HEIDEMARIE W. MACMASTER
• Inpatient Use of Insulin Pens—Eliminating Risk for Inappropriate Use of Pen on More than One Patient.
  Diabetes 2018 HEIDEMARIE W. MACMASTER, ANDREW MARUOKA, CRAIG SAN LUIS, SABINA GONZALEZ, ROBERT J. RUSHAKOFF
• Making Sense of Rapid-Acting Insulin Patient Directions in the EMR.
  Diabetes 2018 HEIDEMARIE W. MACMASTER, ISABEL FONG, ROBERT J. RUSHAKOFF
• Remote Monitoring and Consultation of Inpatient Populations with Diabetes.
  Current diabetes reports 2017 Rushakoff RJ, Rushakoff JA, Kornberg Z, MacMaster HW, Shah AD
• Virtual glucose management service: a novel resident educational tool.
  Medical education 2017 Rushakoff JA, Kornberg Z, Shah AD, Rushakoff RJ
• Consensus Statement on Inpatient Use of Continuous Glucose Monitoring.
  Journal of diabetes science and technology 2017 Wallia A, Umpierrez GE, Rushakoff RJ, Klonoff DC, Rubin DJ, Hill Golden S, Cook CB, Thompson B, DTS Continuous Glucose Monitoring in the Hospital Panel
• Association Between a Virtual Glucose Management Service and Glycemic Control in Hospitalized Adult Patients: An Observational Study.
  Annals of internal medicine 2017 Rushakoff RJ, Sullivan MM, MacMaster HW, Shah AD, Rajkomar A, Glidden DV, Kohn MA
• Peripheral IV Insulin Infusion Infiltration Presenting as "Insulin Resistance".
  Critical care medicine 2016 Kim TY, Woeber KA, MacMaster HW, Rushakoff RJ
• Effect of moderately intense perioperative glucose control on renal allograft function: a pilot randomized controlled trial in renal transplantation.
  Clinical transplantation 2016 Parekh J, Roll GR, Wisel S, Rushakoff RJ, Hirose R
• Pharmacists' Impact on Glycemic Control Among Surgical Patients at a Large Academic Institution.
  Clinical diabetes : a publication of the American Diabetes Association 2016 Nguyen CT, Seto A, Rushakoff R, MacMaster HW
• INTRAVENOUS CONTRAST IN PATIENTS WITH DIABETES ON METFORMIN: NEW COMMON SENSE GUIDELINES.
  Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists 2016 Shah AD, McHargue C, Yee J, Rushakoff RJ
• 24: Use of Continuous Subcutaneous Insulin Infusions in the Inpatient Setting: A Guide to Management.
  2016 Eileen Faulds, Robert Rushakoff, Umexh Masharani, Kathleen Dungan
• 28: Nursing Education.
  Managing Diabetes and Hyperglycemia in the Hospital Setting: A Clinician’s Guide 2016 Jane Jeffrie Seley, Michelle Magee, Robert Rushakoff
• 29: Resident Education.
  Managing Diabetes and Hyperglycemia in the Hospital Setting: A Clinician’s Guide 2016 Robert Rushakoff, Cecilia Low Wang, Jane Jeffrie Seley, Alicia Warnock
• Hereditary Spherocytosis and Other Factors That Alter HBA1C Levels.
  AACE Clinical Case Reports 2015 Robert J. Rushakoff, Heidemarie Windham MacMaster, Arti D. Shah
• Patient Self-Management of Diabetes Care in the Inpatient Setting: Con.
  Journal of diabetes science and technology 2015 Shah AD, Rushakoff RJ
• Evolution of the curbside consult commentary on transforming the endocrine consult: asynchronous provider consultations.
  Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists 2015 Rushakoff RJ, Rushakoff JA
• Falsely Decreased HbA1c in a Type 2 Diabetic Patient Treated with Dapsone.
  Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists 2014 Shah AD, Fox RK, Rushakoff RJ
• Using a mentoring approach to implement an inpatient glycemic control program in United States hospitals.
  Healthcare (Amsterdam, Netherlands) 2014 Rushakoff RJ, Sullivan MM, Seley JJ, Sadhu A, O'Malley CW, Manchester C, Peterson E, Rogers KM
• A New "Twist" on Insulin Pen Administrat ion Errors.
  Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists 2014 Shah A, Sullivan MM, Rushakoff RJ
• A detailed description of the implementation of inpatient insulin orders with a commercial electronic health record system.
  Journal of diabetes science and technology 2014 Neinstein A, MacMaster HW, Sullivan MM, Rushakoff R
• Pathways to quality inpatient management of hyperglycemia and diabetes: a call to action.
  Diabetes care 2013 Draznin B, Gilden J, Golden SH, Inzucchi SE, PRIDE investigators, Baldwin D, Bode BW, Boord JB, Braithwaite SS, Cagliero E, Dungan KM, Falciglia M, Figaro MK, Hirsch IB, Klonoff D, Korytkowski MT, …
• Hyperglycemia control of the nil per os patient in the intensive care unit: introduction of a simple subcutaneous insulin algorithm.
  Journal of diabetes science and technology 2012 Kim S, Rushakoff RJ, Sullivan M, Windham H
• Survey on transition from inpatient to outpatient for patients on insulin: what really goes on at home?
  Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists 2010 Kimmel B, Sullivan MM, Rushakoff RJ
• Impact of an interactive online nursing educational module on insulin errors in hospitalized pediatric patients.
  Diabetes care 2010 Sullivan MM, O'Brien CR, Gitelman SE, Shapiro SE, Rushakoff RJ
• Frequently repeated glucose measurements overestimate the incidence of inpatient hypoglycemia and severe hyperglycemia.
  Journal of diabetes science and technology 2010 Weinberg ME, Bacchetti P, Rushakoff RJ
• The mechanism of action of estrogen in castration-resistant prostate cancer: clues from hormone levels.
  Clinical genitourinary cancer 2009 Aggarwal R, Weinberg V, Small EJ, Oh W, Rushakoff R, Ryan CJ
• Update on systemic management of diabetes.
  International ophthalmology clinics 2009 Masharani U, Rushakoff RJ
• Management of diabetes and hyperglycemia in the hospital: a practical guide to subcutaneous insulin use in the non-critically ill, adult patient.
  Journal of hospital medicine 2008 Wesorick D, O'Malley C, Rushakoff R, Larsen K, Magee M
• Quality Improvement Strategies for Type 2 Diabetes—Reply.
  JAMA 2006 Kaveh G. Shojania, Sumant R. Ranji, Kathryn M. McDonald, Jeremy M. Grimshaw, Robert J. Rushakoff, Douglas K. Owens
• Effects of quality improvement strategies for type 2 diabetes on glycemic control: a meta-regression analysis.
  JAMA 2006 Shojania KG, Ranji SR, McDonald KM, Grimshaw JM, Sundaram V, Rushakoff RJ, Owens DK
• Evaluation of a "formal" endocrinology curbside consultation service: advice by means of internet, fax, and telephone.
  Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists 2003 Rushakoff RJ, Woeber KA
• Inadvertent sulfonylurea overdosage and hypoglycemia in an elderly woman: failure of serum hypoglycemia screening.
  Diabetes technology & therapeutics 2003 Earle KE, Rushakoff RJ, Goldfine ID
• Case of pseudohypoglycemia.
  Diabetes care 2001 Rushakoff RJ, Lewis SB
• Regulation of pancreatic endocrine function by cholecystokinin: studies with MK-329, a nonpeptide cholecystokinin receptor antagonist.
  The Journal of clinical endocrinology and metabolism 1990 Liddle RA, Gertz BJ, Kanayama S, Beccaria L, Gettys TW, Taylor IL, Rushakoff RJ, Williams VC, Coker LD
• The Role of Cholecystokinin and Other Gut Peptides on Regulation of Postprandial Glucose and Insulin Levels.
  1990 R. J. Rushakoff, R. A. Liddle, J. A. Williams, I. D. Goldfine
• Physiological role for cholecystokinin in reducing postprandial hyperglycemia in humans.
  The Journal of clinical investigation 1988 Liddle RA, Rushakoff RJ, Morita ET, Beccaria L, Carter JD, Goldfine ID
• Ectopic pituitary and hypothalamic hormone syndromes.
  Endocrinology and metabolism clinics of North America 1987 Melmed S, Rushakoff RJ
• Physiological concentrations of cholecystokinin stimulate amino acid-induced insulin release in humans.
  The Journal of clinical endocrinology and metabolism 1987 Rushakoff RJ, Goldfine ID, Carter JD, Liddle RA
• Early steps in the research process.
  The Diabetes educator 1987 Rushakoff RJ
• Relative effects of pregnancy and corticosterone administration on skeletal muscle metabolism in the rat.
  Endocrinology 1983 Rushakoff RJ, Kalkhoff RK
• Effects of pregnancy and sex steroid administration on skeletal muscle metabolism in the rat.
  Diabetes 1981 Rushakoff RJ, Kalkhoff RK
• Epinephrine-induced cyclic AMP production and vasoconstriction in the noncyclically perfused rat hindlimb; a possible role for insulin.
  Life sciences 1978 Rushakoff RJ, Lewis SB, Schultz TA, Kaplan RA, Davis JL, Pilkis SJ, Ho RJ, Wallin JD
• Glucose delivery--a clarification of its role in regulating glucose uptake in rat skeletal muscle.
  Life sciences 1977 Schultz TA, Lewis SB, Westbie DK, Gerich JE, Rushakoff RJ, Wallin JD