Insulin stewardship for inpatient hyperglycaemia

Area of Science:

• Endocrinology
• Hospital Pharmacy
• Patient Safety

Background:

• Glycaemic management is vital for hospitalized patients.
• Dysglycaemia is common in hospital settings, necessitating frequent insulin use.
• Effective and safe insulin administration requires structured protocols.

Purpose of the Study:

• To outline the rationale for establishing insulin stewardship programs.
• To detail the essential components of an insulin stewardship program.
• To identify potential monitoring tools for evaluating program effectiveness.

Main Methods:

• Literature review on insulin stewardship principles.
• Description of key program elements.
• Discussion of monitoring and auditing strategies.

Main Results:

• Insulin stewardship programs provide a framework for safe insulin use.
• Key components include education, protocol development, and monitoring.
• Auditing tools are essential for continuous improvement.

Conclusions:

• Insulin stewardship is necessary in all healthcare settings.
• Hospitals are encouraged to implement and audit these programs.
• Effective stewardship enhances patient safety and glycaemic control.