Narrow Results Clear All
- Communication Improvement 1
- Error Reporting and Analysis 1
- Quality Improvement Strategies
- Technologic Approaches 1
Search results for "Insulin"
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.
Cases & Commentaries
- Web M&M
Saul N. Weingart, MD, PhD; August 2006
In the office, a man with diabetes has high blood sugar, and the nurse practitioner orders insulin. After administration, she discovers that she has injected the insulin with a tuberculin syringe rather than an insulin syringe, resulting in a 10-fold overdose.
A crack in our best armor: "wrong patient" injections from insulin pens alarmingly frequent even with barcode scanning.
ISMP Medication Safety Alert! Acute Care Edition. October 23, 2014;19:1-5.
Improper insulin pen use is a persistent problem. This newsletter article reveals the lessons learned from one hospital that implemented best practices including robust education, bar-code scanning, bedside electronic medication administration records, and alerts to prevent incorrect administration but continued to experience errors related to insulin pen use.