Double monitoring of insulin doses offers minimal protection against in-hospital errors

A.A.D.E. 2015 Highlights
August 6, 2015

NEW ORLEANS – An insulin double-checking procedure was ineffective at preventing insulin errors when compared with usual care procedures in patients with diabetes, according to study findings presented here.
In a prospective, comparative, two-group research study involving five inpatient units conducted at Cleveland Clinic, researchers found that a subcutaneous insulin double-checking procedure did lead to fewer insulin administration errors; however, most errors were due to the timing of insulin administration, which double-checking did not reduce.
“After controlling for clinical nurses who administered insulin, the double-checking intervention was effective in reducing omission errors, but not effective in wrong time, preparation, dose or a combination of two errors,” Mary Beth Modic, DNP, RN, CNS, CDE, a clinical nurse specialist in diabetes at the Cleveland Clinic told Endocrine Today. “The research findings do not support the practice of requiring a subcutaneous insulin double-checking procedure.”

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