Reducing insulin prescription errors in hospital: more stick than carrot?

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This improvement work aimed to reduce prescription errors and improve health care professionals’ knowledge by introducing the following initiatives: (1) redesign of the diabetes prescription chart; and (2) implementing a root cause analysis prescription error pathway which involves a targeted approach to education for the individual who made the error.

Following introduction of the changes to the insulin prescription chart prescription errors were reduced from 65% to 14% and management errors from 40% to 14% from 2009 to the beginning of 2012. The team say the changes have demonstrated a significant reduction in prescription errors and an increased awareness of diabetes following the targeted approach to education.

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