title: Impact of an interactive online nursing educational module on insulin errors in hospitalized pediatric patients.
abstract: OBJECTIVE
  To determine the effectiveness of an online module for reducing insulin administration errors by nurses caring for hospitalized pediatric patients.
  
  
  METHODS
  Pediatric nursing staff completed a mandatory online educational module teaching insulin pharmacokinetics and the insulin order form, using diluted insulin and finishing with 15 interactive cases. A chart audit to determine all possible insulin errors of patients receiving insulin was done before and 2-6 months after the educational module.
  
  
  RESULTS
  All of the medical center's 283 pediatric nurses successfully completed the educational module. A total of 24 charts were audited in the preintervention phase and 22 in the postintervention phase. The preintervention insulin error rate was 14.8%, reduced to 1.7% (P < 0.001) postintervention. Improvement occurred in correct insulin dosing and type, timing of administration, and timely blood glucose monitoring and documentation.
  
  
  CONCLUSIONS
  An interactive online educational module can be an effective strategy for reducing pediatric nurses' insulin administration errors.
authors.affiliation: Department of Nursing, University of California, San Francisco, California, USA. mary.sullivan@ucsfmedctr.org
authors.forename: Mary M
authors.initials: MM
authors.lastname: Sullivan
authors.forename: Colette R
authors.initials: CR
authors.lastname: O'Brien
authors.forename: Stephen E
authors.initials: SE
authors.lastname: Gitelman
authors.forename: Susan E
authors.initials: SE
authors.lastname: Shapiro
authors.forename: Robert J
authors.initials: RJ
authors.lastname: Rushakoff
mesh_terms: D000293:Adolescent; D002648:Child; D003920:Diabetes Mellitus / Q000188:drug therapy; D004506:Education, Nursing / Q000379:methods*; D005260:Female; D006801:Humans; D007004:Hypoglycemic Agents / Q000008:administration & dosage*; D007328:Insulin / Q000008:administration & dosage*; D020407:Internet; D008297:Male; D008508:Medication Errors / Q000517:prevention & control*; D010371:Pediatric Nursing / Q000193:education*
chemical_list: D007004:Hypoglycemic Agents; D007328:Insulin