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ISMP Medication Safety Alert! Acute Care Edition. February 21, 2013;18:1-3.
This newsletter piece recommends strategies to ensure the safe transition from using insulin pens to insulin vials in acute care.
Journal Article > Study
An interprofessional qualitative study of barriers and potential solutions for the safe use of insulin in the hospital setting.
Rousseau MP, Beauchesne MF, Naud AS, et al. Can J Diabetes. 2014;38:85-89.
This focus group study among physicians, nurses, and pharmacists in the hospital setting found that variability in practices for inpatient insulin use contributed to adverse events. The authors advocate for a systems approach to insulin management to enhance safety. A past AHRQ WebM&M commentary suggested that a uniform algorithm for insulin administration be implemented in all acute care settings.
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; May 21, 2009.
This announcement reports on potential for falsely elevated glucose readings in patients taking parenteral maltose, parenteral galactose, or oral xylose and provides a list of products that may interfere with glucose monitoring.
Cases & Commentaries
- Web M&M
Curtiss B. Cook, MD; January 2009
Admitted to the hospital for surgery, a man with type 1 diabetes mellitus asked the staff to leave his home insulin pump in place but did not mention that he was adjusting his insulin pump himself based on serial glucose measurements. As the patient was also receiving an intravenous insulin infusion, he developed hypoglycemia.
Bethesda, MD: American Society of Health-System Pharmacists; 2006.
This report contains recommendations from a panel of experts convened to determine best practices for improving the safety of insulin use.
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; September 14, 2005.
This announcement explains a labeling change (utilizing color branding to help prevent dispensing errors) to a commonly used form of insulin.