Reduce Incidence of Wrong Insulin Dose Being Prescribed
Care Process & Redesign
National Healthcare Innovation and Productivity Medals
National University Health System
31 December 2023
To ensure 100% reflection of current titrated insulin doses in prescriptions via EPIC. Mechanism for DNE to document titrated doses improved safety and efficiency of medication reconciliation.
Year Submitted: 2023
Published Date: 31 December 2023
Tags: Care Process ＆ Redesign, Quality Improvement, Workflow Redesign
About this Content
Aims
To ensure 100% reflection of current titrated insulin doses in prescriptions via EPIC.
Background
Insulin dose errors due to non-updated prescriptions lead to confusion and risks.
Methods
PDSA cycles with updated guidelines
Results
Achieved 100% insulin dose updates in EPIC after iterative changes and team-wide communication.
Conclusion
Mechanism for DNE to document titrated doses improved safety and efficiency of medication reconciliation.
Lessons Learnt
Clear documentation protocols reduce errors and ensure consistency in insulin prescriptions.
Keywords
Insulin Titration, Documentation, High-Alert Medication
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National University Health System |
Organization(s) Involved | Ng Teng Fong General Hospital |
Platform(s) | National Healthcare Innovation and Productivity Medals |
Healthcare Professional Group(s) | Nursing, Medical, Pharmacy |
Applicable Specialty or Discipline | Endocrinology, Pharmacology |
Project Lead(s) | Masdiana Binte Mohamed Yusof |
Project Member(s) | Praveen Kaur Gosal |
Connect with this contributor!
Masdiana Binte Mohamed Yusof - masdiana_mohamed_yusof@nuhs.edu.sg
Project Attachment
C_492_NTFGH_NHIP_2023_Reduce_incidence_of_wrong_insulin_dose_being_prescribed.pdf