Reducing Insulin Errors

Training Provided by Lorman Education Services nThe Centers for Disease Control and Prevention announced this past June that 24 million Americans now have diabetes, an increase of three million people in just two years. Diabetes is also one of the most common diagnoses seen in hospitalized patients. Moreover, insulin may be the preferred medication to manage glucose while patients are hospitalized. The Joint Commission of Accreditation of Healthcare Organizations and the Institute for Safe Medication Practice continue to identify insulin as one of the top 5 high alert medications. This teleconference will investigate the factors that contribute to insulin errors, practices that can be implemented to reduce errors and characteristics of a safety conscious culture. n nLorman Business Center, Inc. dba Lorman Education Services, Eau Claire, Wisconsin is an approved provider of continuing nursing education by the Wisconsin Nurses Association Continuing Education Approval Program Committee, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. n nThis program qualifies for 1.5 contact hours. To receive a certificate of successful completion, you are required to complete and return an evaluation form. Planning Panel Members are: Kerri Crank, R.N., MSN, FNP, CSN, John Busch, JD, Robert Kerbell, Jennifer Janiak, Christine Todd Medina and Andrea Helland. n nThere are no conflicts of interest to report. There was no commercial support received for the planning of this program. No endorsement of products or off-label use will occur at this program. n nLearning Objectives n- You will be able to describe factors that contribute to insulin errors. n- You will be able to discuss the incongruence between classification of error and nurse perception of error. n- You will be able to examine strategies that contribute to a culture of safety. n- You will be able to review types of errors.

Reducing Insulin Errors Agenda

1. Factors That Contribute to Insulin Errors
1. Multiple Insulin Preparations Available on Hospital Formulary
2. Incomplete or Inaccurate History of Insulin Therapy From Patient
3. SALA Insulins
4. Knowledge Deficit About Insulin Therapy
5. Insulin Storage and Stockpiling
6. Illegible Insulin Orders
7. Lack of Standardized Protocols and Order Sets
8. Incorrect Delivery Device
9. Inconsistent BGM, Meal Delivery and Insulin Administration
10. Communication Deficit
11. Lack of Formal Feedback Mechanism Regarding Insulin Error Trends
2. The Incongruence Between Classification of Error and Nurse Perception of Error
1. National Coordinating Council for Medication and Error Reporting Index for Categorizing Medication Errors
1. No Error
2. Error, No Harm
3. Error, Harm
4. Error, Death
2. Types of Errors
1. Omissions
2. Improper Dose or Quantity
3. Unauthorized or Wrong Dose
4. Extra Dose
5. Wrong Patient
3. Nurse's Perception of Errors
1. Responsibility
2. Communication
3. Ability to Correct
4. PT Needs
5. Clerical Error
3. Strategies That Contribute to a Culture of Safety
1. Preoccupation With Betterment
2. Passion for Learning
3. Commitment to Diligence
4. Deference to Expertise
5. Sensitivity to Infrastructures
6. Utilization of Technology
4. Questions and Answers

About The Training Provider: Lorman Education Services

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