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Development of an Insulin-Prescribing Chart for Paediatric Diabetes
B P Finn1, T O’Neill1, A Bradfield1
1Department of Paediatrics and Child Health, Cork University Hospital
Irish Medical Journal
|October 26, 2019
Summary
A redesigned paediatric insulin prescribing chart improved ease of use and safety for healthcare professionals. The new tool, featuring a colour-coded graph and ALERT system, standardized hypoglycemia and hyperglycemia management.
Area of Science:
- Pediatric Endocrinology
- Clinical Pharmacy
- Health Informatics
Background:
- Suboptimal insulin prescribing tools can lead to medication errors and patient harm.
- Standardization of insulin prescribing practices is crucial for patient safety in pediatric care.
Purpose of the Study:
- To design and implement a new paediatric insulin prescribing tool aligned with safety recommendations.
- To evaluate the usability and safety impact of the redesigned insulin prescribing chart.
Main Methods:
- Retrospective analysis of 15 in-patient insulin charts (2015).
- Questionnaire survey of healthcare professionals regarding the existing chart.
- Design and implementation of a new chart (2016) followed by a re-audit (2017).
Main Results:
- The new chart was perceived as easier (95%) and safer (n=16) to use by previous users.
- Confusion decreased significantly (28% in 2017 vs. 50% in 2015).
- The ALERT system standardized hypo/hyperglycemia management (71% of staff).
Conclusions:
- The redesigned paediatric insulin prescribing chart enhances prescribing safety and usability.
- The integrated colour-coded graph and ALERT system facilitate better understanding of glucose trends and management.
- This tool supports standardized and safer management of blood glucose levels in pediatric patients.
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