A recent study in the United Kingdom found that a significant number of diabetes-related medical errors in nursing homes were reported to the National Reporting and Learning System between 2005 and 2009. The vast majority of errors involved insulin followed by oral hypoglycemic agents. The main error type was the administration of the wrong dose.1
The ISMP and others have provided observations and recommendations to ensure a smooth and safe transition from acute care to nursing home–level care.
Given the overlap in type of care delivery between nursing homes and hospitals, many of the same elements that would improve care delivery in hospitals could apply to the nursing home setting. The increased challenge for nursing home patients is the different level of staffing seen in nursing homes.