Cases & Commentaries
Hospitalized with nonketotic hyperglycemia, a man was placed on IV insulin and his blood sugars improved. That evening, the patient was transferred to the ICU with chest pain and his IV insulin order was changed to sliding scale subcutaneous insulin. However, over the next several hours, the patient again developed hyperglycemia. Tosha Wetterneck, MD, MS, of the University of Wisconsin Schools of Medicine and Public Health, discusses how to safely transition from IV to subcutaneous insulin in hospitalized patients and advocates for applying a systems approach to improve safety.
Hyperglycemia and Switching to Subcutaneous Insulin
|Work System Factor
|Contributing Factor to Adverse Event
|Systems Redesign Recommendations
|Tools and Technology
|Environment (Internal and External)