National Patient Safety Agency, London.
Clin Med (Lond). 2011 Feb;11(1):28-30. doi: 10.7861/clinmedicine.11-1-28.
Patient safety incidents involving insulin are frequent and cause considerable distress to people with diabetes and anxieties to their families and carers. This article describes an analysis of the National Reporting and Learning System database of patient safety incidents concerning insulin reported from NHS providers in England and Wales over six years. The main causes are discussed and the ongoing developments by the National Patient Safety Agency and partner organisations to reduce insulin errors are described.
涉及胰岛素的患者安全事件频繁发生，给糖尿病患者及其家人和护理人员带来了相当大的痛苦和焦虑。本文描述了对英格兰和威尔士 NHS 提供者在六年期间报告的涉及胰岛素的患者安全事件的国家报告和学习系统数据库的分析。讨论了主要原因，并描述了国家患者安全局和合作伙伴组织为减少胰岛素错误而正在进行的发展。
