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PSNet: Patient Safety Network
Journal Article

Making surgical wards safer for patients with diabetes: reducing hypoglycaemia and insulin errors.

Singh A, Adams A, Dudley B, et al. BMJ open quality. 2018;7:e000312.

Diabetes care involves the use medications that have high risk of adverse drug events. This commentary describes a multidisciplinary plan–do–study–act initiative to develop insulin error reduction strategies and improve safety of surgical patients with diabetes. The 3-year project developed guidelines, educational initiatives, and a whiteboard system to enhance the reliability of insulin therapy in the unit.