Reducing potentially fatal errors associated with high doses of insulin: a successful multifaceted multidisciplinary prevention strategy.

Abstract

BACKGROUND Insulin is a high-risk medicine which may cause significant patient harm or death when given incorrectly. A 10-fold error in administered insulin dose commonly occurs when the abbreviation 'u' is used for 'units' and subsequently misinterpreted as a 'zero.' METHOD A multidisciplinary working party was convened and mapped insulin prescribing… (More)
DOI: 10.1136/bmjqs.2010.049668

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