AHRQ Patient Safety Network

The Collection > Endocrinology

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Safety Target

•Device-related Complications (5)

•Diagnostic Errors (5)

•Discontinuities, Gaps, and Hand-Off Problems (3)

•Medication Safety (18)

•Medical Complications (3)

Origin/Sponsor

•Europe (7)

•North America (24)

Resource Types

•Book/Report (3)

•Journal Article (16)

•Legislation/Regulation (1)

•Newspaper/Magazine Article (7)

•Press Release/Announcement (4)

•Web Resource (1)

Error Types

•Epidemiology of Errors and Adverse Events (8)

•Active Errors (10)

•Latent Errors (1)

Approach to Improving Safety

•Quality Improvement Strategies (17)

•Legal and Policy Approaches (1)

•Error Reporting and Analysis (8)

•Communication Improvement (6)

•Human Factors Engineering (4)

•Teamwork (2)

•Specialization of Care (1)

•Culture of Safety (4)

•Technologic Approaches (4)

•Education and Training (8)

Clinical Areas
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Endocrinology

Target Audience

•Health Care Providers (27)

•Health Care Executives and Administrators (22)

•Non-Health Care Professionals (4)

•Patients (3)

Setting of Care

•Hospitals (12)

•Ambulatory Care (10)

1 - 20 of 32

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NEWSPAPER/MAGAZINE ARTICLE

Medication errors common for hospital diabetes.

Nursing Times. April 1, 2011.

STUDY

Unintentional therapeutic errors involving insulin in the ambulatory setting reported to poison centers.

Spiller HA, Borys DJ, Ryan ML, Sawyer TS, Wilson BL. Ann Pharmacother. 2011;45:17-22.

NEWSPAPER/MAGAZINE ARTICLE

Misadministration of IV insulin associated with dose measurement and hyperkalemia treatment.

ISMP Medication Safety Alert! Acute Care Edition. August 11, 2011;16:1-3.

COMMENTARY

Are Two Insulin Pumps Better Than One?

Cook CB. AHRQ WebM&M [serial online]. January 2009.

NEWSPAPER/MAGAZINE ARTICLE

An overlooked condition.

Nicholas L. Modern Healthc. November 14, 2005;35:24.

PRESS RELEASE/ANNOUNCEMENT

Information for healthcare professionals: risk of transmission of blood-borne pathogens from shared use of insulin pens.

FDA Alert [US Food and Drug Administration Web site]. March 19, 2009.

NEWSPAPER/MAGAZINE ARTICLE

Medication errors with the dosing of insulin: problems across the continuum.

PA-PSRS Patient Saf Advis. March 2010;7:9-17.

COMMENTARY

Addressing safety concerns about U-500 insulin in a hospital setting.

Samaan KH, Dahlke M, Stover J. Am J Health Syst Pharm. 2011;68:63-68.

STUDY

Unexpected hypoglycemia in a critically ill patient.

Bates DW. Ann Intern Med. 2002;137:110-116.

PRESS RELEASE/ANNOUNCEMENT

Potentially fatal errors with GDH-PQQ [glucose dehydrogenase pyrroloquinoline quinone] glucose monitoring technology.

MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; August 13, 2009.

STUDY

Discontinuation of antihyperglycemic therapy after acute myocardial infarction: medical necessity or medical error?

Lovig KO, Horwitz L, Lipska K, Kosiborod M, Krumholz HM, Inzucchi SE. Jt Comm J Qual Patient Saf. 2012;38:403-407.

STUDY

What happens between visits? Adverse and potential adverse events among a low-income, urban, ambulatory population with diabetes.

Sarkar U, Handley MA, Gupta R, et al. Qual Saf Health Care. 2010;19:223-228.

BOOK/REPORT

National Diabetes Inpatient Audit 2011.

Leeds, UK: Health and Social Care Information Centre; 2012.

NEWSPAPER/MAGAZINE ARTICLE

A clinical reminder about the safe use of insulin vials.

ISMP Medication Safety Alert! Acute Care Edition. February 21, 2013;18:1-3.

COMMENTARY

Avoiding errors associated with insulin therapy.

Cohen H. Medscape CME/CE. May 14, 2009.

COMMENTARY

New technology, new errors: how to prime an upgrade of an insulin infusion pump.

Rule AM, Drincic A, Galt KA. Jt Comm J Qual Patient Saf. 2007;33:155-162.

NEWSPAPER/MAGAZINE ARTICLE

Medical mystery: alcoholism didn’t cause man’s diabetes and cirrhosis.

Boodman SG. Washington Post. June 13, 2011:E1.

PRESS RELEASE/ANNOUNCEMENT

Parenteral Maltose/Parenteral Galactose/Oral Xylose-Containing Products.

MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; May 21, 2009.

NEWSPAPER/MAGAZINE ARTICLE

FDA Advise-ERR: prevent dangerous drug-device interaction causing falsely elevated glucose levels.

ISMP Medication Safety Alert! Acute Care Edition. June 19, 2008;13:1-3.

REVIEW

Patient safety systems in the primary health care of diabetes—a story of missed opportunities?

Taub N, Baker R, Khunti K, et al. Diabet Med. 2010;27:1322-1326.

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