Reducing MERP D Insulin Related Medication Errors by 50% in KTPH
Care Process & Redesign
Yishun Health One Improvement Festival
National Healthcare Group
17 April 2025
To reduce MERP Category D Insulin Medication Errors by 50% over 3 years at Khoo Teck Puat Hospital (KTPH). The project shows promise in reducing insulin-related medication errors, with ongoing initiatives to further improve outcomes.
Year Submitted: 2025
Published Date: 17 April 2025
Tags: Care Process ＆ Redesign, Quality Improvement, Workflow Redesign, Risk Management, Preventive Approach
About this Content
Aims
To reduce MERP Category D Insulin Medication Errors by 50% over 3 years at Khoo Teck Puat Hospital (KTPH).
Background
An uptrend in insulin-related medication errors was noted in 2020-2021, with significant risks to patients, prompting the initiative to improve medication and patient safety.
Methods
Interventions included the initiation of a Hyperkalaemia Kit, improving the interface for displaying blood glucose monitoring records, and setting up an Admin-Too-Close best practice advisory prompt.
Results
The longest number of days between events improved from 82 days in 2022 to 135 days in 2023. Total number of MERP D and above insulin-related medication errors decreased from 7 in 2022 to 3 as of August 2024.
Conclusion
The project shows promise in reducing insulin-related medication errors, with ongoing initiatives to further improve outcomes.
Lessons Learnt
Multidisciplinary collaboration is crucial to avoid medication errors and improve patient care, accuracy of prescriptions, and clinical decision-making.
Additional Information
Zero MERP F to I insulin-related medication errors from 2023 to August 2024. Reducing error rates prevents medication-related mortality and morbidity.
Keywords
Insulin, Medication Errors, Patient Safety, Workflow Redesign
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National Healthcare Group |
Organization(s) Involved | Khoo Teck Puat Hospital |
Platform(s) | Yishun Health One Improvement Festival |
Healthcare Professional Group(s) | Nursing |
Applicable Specialty or Discipline | Geriatric Medicine, Endocrinology |
Project Lead(s) | Tan Hann Yee |
Project Member(s) | Nieh Chih Ming |
Connect with this contributor!
KTPH & YCH Innovation & Improvement (I&I) Office - i-i@ktph.com.sg
Project Attachment
758_KTPH_OIF 2025_Reducing MERP D Insulin related Medication Erro.pdf