PMID: 20128759Feb 5, 2010Paper

Standardising practices through form design and education improves insulin management

Australian Health Review : a Publication of the Australian Hospital Association
Fiona B McIverMaarten C Kamp

Abstract

Diabetes is common in hospitalised patients and insulin is frequently required for management. Insulin is a high-risk drug, accounting for about 15% of reported medication-related incidents. Despite its complexity, insulin management in hospitals is often undertaken by junior and non-specialist staff. Improving insulin management requires addressing safe prescribing and administration as well as quality use of insulin. Common errors in insulin use are well documented and can be addressed through form design and enhancing decision support. We undertook to improve insulin management using a locally proven improvement methodology. New forms were developed for intravenous and subcutaneous insulin and blood glucose management. Audited pilot studies in four hospitals confirmed improved insulin management without adversely impacting on overall diabetes management as assessed using Glucometrics. Subsequently, the forms have been introduced to 70% of Queensland public hospitals with roll-out to remaining hospitals continuing. Large-scale standardisation of insulin management is feasible.

Citations

Feb 27, 2015·Current Diabetes Reports·Joseph A AloiDavid C Lieb
Dec 19, 2014·Journal of Diabetes Science and Technology·Christopher M MullaJoseph A Aloi
Aug 2, 2013·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Daniel J CobaughMichael Cohen
Apr 5, 2019·International Journal of Clinical Pharmacy·Viandro A Borja, Kirsten Galbraith
May 3, 2019·Diabetic Medicine : a Journal of the British Diabetic Association·A BainZaheer-Ud-Din Babar
Apr 20, 2012·Australian Health Review : a Publication of the Australian Hospital Association·Peter A LazzariniMaarten C Kamp
Feb 17, 2017·Pediatric Quality & Safety·Vishal SaddiSarah Patterson

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