ArticleOpen medicine (Warsaw, Poland)2026
Enhancing insulin administration safety in inpatient care: findings from a root cause analysis and continuous improvement intervention.
Article in Open medicine (Warsaw, Poland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objectives: This study aimed to quantify the incidence of insulin-related medication errors among hospitalized patients, identify underlying causal factors through root cause analysis (RCA), and evaluate the effectiveness of continuous improvement strategies in mitigating nursing adverse events associated with insulin administration. Methods: A 25-week prospective quasi-experimental clinical study was conducted at a tertiary care hospital in Shanxi Province. Patients were assigned to either a control group receiving standard management or an intervention group managed under a continuous improvement protocol. Group assignment was determined by the chronological order of hospital admission, with the initiation of the intervention serving as the demarcation point. Primary outcomes included the frequency of insulin-related medication errors, adherence to established safety check protocols, and changes in nursing staff safety practices and psychological resilience. Results: RCA identified key contributing factors to insulin-related medication errors, including the absence of a comprehensive management framework, inadequate staff training, limited pharmacological knowledge among nursing personnel, and insufficient diversity in patient education strategies. A total of 123 patients were enrolled, with 65 in the intervention group and 58 in the control group. The intervention group demonstrated a significantly lower incidence of insulin-related medication errors compared to the control group (p<0.001). Additionally, patients in the intervention group exhibited improved glycemic control, and nursing staff showed enhanced adherence to safety protocols and greater psychological resilience (p<0.001). Conclusions: Conducting an RCA enabled the identification of critical factors contributing to insulin-related medication errors and informed the development of strategies to reduce these risks. The results underscore the importance of implementing continuous improvement approaches to enhance patient safety. These findings provide actionable recommendations for improving nursing practices and healthcare management to optimize safety outcomes.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.