Reduction of Insulin Related Preventable Severe Hypoglycemic Events in Hospitalized Children

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 hypoglycemi...

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Bibliographic Details
Published in:Pediatrics (Evanston) 2016-07, Vol.138 (1), p.1-1
Main Authors: Poppy, Amy, Retamal-Munoz, Claudia, Cree-Green, Melanie, Wood, Colleen, Davis, Shanlee, Clements, Scott A, Majidi, Shideh, Steck, Andrea K, Alonso, G Todd, Chambers, Christina, Rewers, Arleta
Format: Article
Language:English
Subjects:
Adolescent
Analysis
Child
Child, Preschool
Children
Children & youth
Female
Health aspects
Hospitalization
Hospitals, Pediatric
Humans
Hypoglycemia
Hypoglycemia - chemically induced
Hypoglycemia - prevention & control
Hypoglycemic Agents - administration & dosage
Hypoglycemic Agents - adverse effects
Infant
Insulin
Insulin - administration & dosage
Insulin - adverse effects
Intervention
Male
Morbidity
Pediatrics
Practice Guidelines as Topic
Quality Improvement
Retrospective Studies
Risk assessment
Risk factors
Severity of Illness Index
Tertiary Care Centers
Treatment Outcome
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Summary: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 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. 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. 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.
ISSN:0031-4005
1098-4275
DOI:10.1542/peds.2015-1404