Harada Saki, Suzuki Akio, Nishida Shohei, Kobayashi Ryo, Tamai Sayuri, Kumada Keisuke, Murakami Nobuo, Itoh Yoshinori
Department of Pharmacy, Gifu University Hospital, Yanagido, Gifu, Japan.
Patient Safety Division, Gifu University Hospital, Yanagido, Gifu, Japan.
J Eval Clin Pract. 2017 Jun;23(3):582-585. doi: 10.1111/jep.12674. Epub 2016 Dec 7.
Insulin is frequently used for glycemic control. Medication errors related to insulin are a common problem for medical institutions. Here, we prepared a standardized sliding scale insulin (SSI) order sheet and assessed the effect of its introduction. Observations before and after the introduction of the standardized SSI template were conducted at Gifu University Hospital. The incidence of medication errors, hyperglycemia, and hypoglycemia related to SSI were obtained from the electronic medical records. The introduction of the standardized SSI order sheet significantly reduced the incidence of medication errors related to SSI compared with that prior to its introduction (12/165 [7.3%] vs 4/159 [2.1%], P = .048). However, the incidence of hyperglycemia (≥250 mg/dL) and hypoglycemia (≤50 mg/dL) in patients who received SSI was not significantly different between the 2 groups. The introduction of the standardized SSI order sheet reduced the incidence of medication errors related to SSI.
胰岛素常用于血糖控制。与胰岛素相关的用药错误是医疗机构常见的问题。在此，我们制定了标准化胰岛素调整剂量表（SSI）订单，并评估了引入该表的效果。在岐阜大学医院对引入标准化SSI模板前后进行了观察。从电子病历中获取与SSI相关的用药错误、高血糖和低血糖的发生率。与引入标准化SSI订单表之前相比，引入该表后与SSI相关的用药错误发生率显著降低（12/165 [7.3%] 对4/159 [2.1%]，P = .048）。然而，接受SSI治疗的患者中高血糖（≥250 mg/dL）和低血糖（≤50 mg/dL）的发生率在两组之间无显著差异。引入标准化SSI订单表降低了与SSI相关的用药错误发生率。
