Amy Poppy1, Claudia Retamal-Munoz2, Melanie Cree-Green3, Colleen Wood3, Shanlee Davis3, Scott A Clements4, Shideh Majidi3, Andrea K Steck3, G Todd Alonso3, Christina Chambers3, Arleta Rewers5. 1. Quality and Patient Safety, Children's Hospital Colorado, Aurora, Colorado; amy.poppy@childrenscolorado.org. 2. Division of Endocrinology. 3. Division of Endocrinology, Barbara Davis Center for Childhood Diabetes, and. 4. Division of Endocrinology, Barbara Davis Center for Childhood Diabetes, and Division of Endocrinology, Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, Utah. 5. Section of Emergency Medicine, Department of Pediatrics, University of Colorado Anschutz, Aurora, Colorado; and.
Abstract
OBJECTIVE: Insulin is a commonly used, high-risk medication in the inpatient setting. Incorrect insulin administration can lead to preventable hypoglycemic events, which are a significant morbidity in inpatient diabetes care. The goal of this intervention was to decrease preventable insulin-related hypoglycemic events in an inpatient setting in a tertiary care pediatric hospital. METHODS: Methods included the institution of several interventions such as nursing and physician education, electronic medical record order sets, electronic communication note templates, and the development of new care guidelines. RESULTS: After the institution of multiple interventions, the rate of preventable hypoglycemic events decreased from 1.4 preventable events per 100 insulin days to 0.4 preventable events per 100 insulin days. CONCLUSIONS: Through the use of a multi-interventional approach with oversight of a multidisciplinary insulin safety committee, a sustained decreased rate of severe preventable hypoglycemic events in hospitalized pediatric patients receiving insulin was achieved.
OBJECTIVE:Insulin is a commonly used, high-risk medication in the inpatient setting. Incorrect insulin administration can lead to preventable hypoglycemic events, which are a significant morbidity in inpatient diabetes care. The goal of this intervention was to decrease preventable insulin-related hypoglycemic events in an inpatient setting in a tertiary care pediatric hospital. METHODS: Methods included the institution of several interventions such as nursing and physician education, electronic medical record order sets, electronic communication note templates, and the development of new care guidelines. RESULTS: After the institution of multiple interventions, the rate of preventable hypoglycemic events decreased from 1.4 preventable events per 100 insulin days to 0.4 preventable events per 100 insulin days. CONCLUSIONS: Through the use of a multi-interventional approach with oversight of a multidisciplinary insulin safety committee, a sustained decreased rate of severe preventable hypoglycemic events in hospitalized pediatric patients receiving insulin was achieved.
Authors: Curtiss B Cook; Rebecca D Wilson; Michael J Hovan; Bryan P Hull; Richard J Gray; Heidi A Apsey Journal: J Diabetes Sci Technol Date: 2009-11-01
Authors: Daniel J Cobaugh; Gregory Maynard; Lebron Cooper; Patricia C Kienle; Robert Vigersky; Diana Childers; Robert Weber; Stacy L Carson; Melanie E Mabrey; Nicki Roderman; Frederick Blum; Rebecca Burkholder; Marcus Dortch; George Grunberger; Daniel Hays; Rashida Henderson; Jeffrey Ketz; Todd Lemke; Surendra K Varma; Michael Cohen Journal: Am J Health Syst Pharm Date: 2013-08-15 Impact factor: 2.637