AHRQ Patient Safety Network

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Insulin

Origin/Sponsor

•Australia and New Zealand (1)

•Europe (3)

•North America (23)

Resource Types

•Book/Report (1)

•Journal Article (18)

•Newspaper/Magazine Article (7)

•Press Release/Announcement (3)

Error Types

•Epidemiology of Errors and Adverse Events (10)

•Active Errors (13)

•Latent Errors (2)

Approach to Improving Safety

•Quality Improvement Strategies (13)

•Error Reporting and Analysis (6)

•Communication Improvement (5)

•Human Factors Engineering (5)

•Teamwork (1)

•Specialization of Care (3)

•Culture of Safety (2)

•Technologic Approaches (3)

•Education and Training (10)

Clinical Areas

•Medicine (25)

•Nursing (3)

•Pharmacy (6)

Target Audience

•Health Care Providers (26)

•Health Care Executives and Administrators (24)

•Non-Health Care Professionals (4)

•Patients (2)

Setting of Care

•Hospitals (15)

•Residential Facilities (2)

•Ambulatory Care (5)

1 - 20 of 29

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NEWSPAPER/MAGAZINE ARTICLE

Medication errors common for hospital diabetes.

Nursing Times. April 1, 2011.

BOOK/REPORT

Recommendations for Safe Use of Insulin in Hospitals.

Bethesda, MD: American Society of Health-System Pharmacists; 2006.

COMMENTARY

It's All in the Syringe

Weingart SN. AHRQ WebM&M [serial online]. August 2006.

PRESS RELEASE/ANNOUNCEMENT

NovoLog Dispensing Error Alert.

MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; September 14, 2005.

NEWSPAPER/MAGAZINE ARTICLE

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

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

NEWSPAPER/MAGAZINE ARTICLE

Error-prone conditions that lead to student nurse-related errors.

ISMP Medication Safety Alert! Acute Care Edition. October 18, 2007;12:1-2.

STUDY

Characteristics of medication errors made by students during the administration phase: a descriptive study.

Wolf ZR, Hicks R, Serembus JF. J Prof Nurs. 2006;22:39-51.

NEWSPAPER/MAGAZINE ARTICLE

An overlooked condition.

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

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.

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.

STUDY

Use of a standardized protocol to decrease medication errors and adverse events related to sliding scale insulin.

Donihi AC, DiNardo MM, DeVita MA, Korytkowski MT. Qual Saf Health Care. 2006;15:89-91.

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

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2010:45;352-355.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2008;43:696–698.

STUDY

Reducing potentially fatal errors associated with high doses of insulin: a successful multifaceted multidisciplinary prevention strategy.

Dooley MJ, Wiseman M, McRae A, et al. BMJ Qual Saf. 2011;20:637-644.

COMMENTARY

Avoiding errors associated with insulin therapy.

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

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.

STUDY

Selected medical errors in the intensive care unit: results of the IATROREF study: parts I and II.

Garrouste-Orgeas M, Timsit JF, Vesin A, et al; OUTCOMEREA Study Group. Am J Respir Crit Care Med. 2010:181:134-142.

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

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.

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