Latest (Most Current) Titrated Insulin Maintenance Dose were not Updated into the Prescription Post Consultation with DNE at Clinic A43
Care Process & Redesign
National University Health System Quality Improvement
National University Health System
31 December 2021
Ensure 100% of titrated insulin doses by Diabetes Nurse Educator (DNE) are updated in EPIC prescriptions. Improved workflows minimized insulin dose errors and enhanced patient safety in glycemic control.
Year Submitted: 2021
Published Date: 31 December 2021
Tags: Care Process ＆ Redesign, Quality Improvement, Workflow Redesign, Value Based Care, Risk Management, Preventive Approach
About this Content
Aims
Ensure 100% of titrated insulin doses by Diabetes Nurse Educator (DNE) are updated in EPIC prescriptions.
Background
DNEs titrated insulin but lacked documentation rights in EPIC, leading to outdated prescriptions and patient risks.
Methods
Updated insulin titration workflow, trained staff, and added medication reconciliation tabs in EPIC.
Results
Achieved 100% visibility of titrated doses for doctors and pharmacists, reducing medication errors.
Conclusion
Improved workflows minimized insulin dose errors and enhanced patient safety in glycemic control.
Lessons Learnt
Collaboration and system updates ensure clarity in medication management workflows.
Keywords
Insulin Management, Patient Safety
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National University Health System |
Organization(s) Involved | Ng Teng Fong General Hospital, Jurong Community Hospital |
Platform(s) | National University Health System Quality Improvement |
Healthcare Professional Group(s) | Nursing, Medical, Pharmacy |
Applicable Specialty or Discipline | Endocrinology, Pharmacology |
Project Lead(s) | Tay Lee Hiang |
Project Member(s) | Masdiana Binte Mohamed Yusof |
Connect with this contributor!
Masdiana Mohamed Yusof - masdiana_mohamed_yusof@nuhs.edu.sg
Project Attachment
C195_NTFGH_JCH_QM_2021_Latest_Titrated_Insulin_Maintenance_Dose_Were_Not_Updated.pdf