title: Diabetes medication patient safety incident reports to the National Reporting and Learning Service: the care home setting.
abstract: OBJECTIVE
  To analyse adverse drug events in older people with diabetes in the care home setting via incident reports obtained from the National Reporting and Learning Service.
  
  
  METHODS
  A Freedom of Information request was made to the National Reporting and Learning Service via the National Patient Safety Agency. Within the National Reporting and Learning Service, reports on diabetes within the category of 'medication' using the location limiter of 'hospice or nursing home or residential home' were searched. We requested information about the number and nature of adverse drug event reports that had been received in relation to diabetes. The data were subdivided into reports (1) relating to insulin therapy and (2) oral glucose-lowering agents.
  
  
  RESULTS
  Data were collected between 1 January 2005 and 31 December 2009. There were 684 reports related to insulin and 84 incidents related to oral glucose-lowering agents. The most common error category with both types of drug therapy was wrong or unclear dose: 173 reports for insulin, including one death, and 20 reports for oral therapy.
  
  
  CONCLUSIONS
  Residents with diabetes in care homes are potentially at risk of harm from adverse drug events pertaining to insulin and oral glucose-lowering agents. Because of under-reporting, our data most likely represent only a fraction of events.
authors: Institute of Diabetes for Older People (IDOP), University of Bedfordshire, Luton, UK.
authors: F J
authors: FJ
authors: Milligan
authors: A J
authors: AJ
authors: Krentz
authors: A J
authors: AJ
authors: Sinclair
mesh_terms: D016907:Adverse Drug Reaction Reporting Systems / Q000706:statistics & numerical data*; D000368:Aged; D000369:Aged, 80 and over; D003920:Diabetes Mellitus; D005260:Female; D006801:Humans; D007004:Hypoglycemic Agents / Q000008:administration & dosage / Q000009:adverse effects*; D007328:Insulin / Q000008:administration & dosage / Q000009:adverse effects*; D008297:Male; D008508:Medication Errors / Q000706:statistics & numerical data; D009735:Nursing Homes; D061214:Patient Safety; D012308:Risk Management; D006113:United Kingdom / Q000453:epidemiology
chemical_list: D007004:Hypoglycemic Agents; D007328:Insulin