Insulin is the most common medication used to treat patients with diabetes in the inpatient setting. Among injectable drugs, insulin has the highest risk for error, which may result in dire consequences for patients. Registered nurses are among the main groups of clinicians that work with insulin, yet they may sometimes lack the comprehensive knowledge associated with inpatient diabetes care and insulin. The purpose of this project is to educate registered nurses at a major academic medical center about inpatient diabetes management focused on insulin therapy. The educational content was based on a medical error analysis and a current inpatient diabetes module of another major medical institution. The content included case studies and was presented as an interactive online module and evaluated using a pre-and posttest and satisfaction survey. The most common insulin-related medical errors found were (1) omission of rapid acting correction insulin, (2) omission of basal insulin, (3) omission of rapid acting insulin and, (4) administering bolus rapid acting insulin when patients are NPO. Pre-test to post-test scores on the training went from 49% to 71%. This project demonstrates a knowledge gap in inpatient diabetes management specific to use of insulin in registered nurses as well as the efficacy of an online, interactive cased-based module to improve knowledge and fill this gap.
","abstract_html":"<p>Insulin is the most common medication used to treat patients with diabetes in the inpatient setting. Among injectable drugs, insulin has the highest risk for error, which may result in dire consequences for patients. Registered nurses are among the main groups of clinicians that work with insulin, yet they may sometimes lack the comprehensive knowledge associated with inpatient diabetes care and insulin. The purpose of this project is to educate registered nurses at a major academic medical center about inpatient diabetes management focused on insulin therapy. The educational content was based on a medical error analysis and a current inpatient diabetes module of another major medical institution. The content included case studies and was presented as an interactive online module and evaluated using a pre-and posttest and satisfaction survey. The most common insulin-related medical errors found were (1) omission of rapid acting correction insulin, (2) omission of basal insulin, (3) omission of rapid acting insulin and, (4) administering bolus rapid acting insulin when patients are NPO. Pre-test to post-test scores on the training went from 49% to 71%. This project demonstrates a knowledge gap in inpatient diabetes management specific to use of insulin in registered nurses as well as the efficacy of an online, interactive cased-based module to improve knowledge and fill this gap.</p>","abstract_has_math":false,"creators":["Tamru, Abigail"],"institution":null,"degree_name":"Doctor of Nursing Practice (DNP)","degree_level":"Open Access Thesis","degree_discipline":"Yale University School of Nursing","degree_department":null,"school":null,"contributors":["Jessica Coviello"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2020,"date_issued":"2020-01-01T08:00:00Z","date_published":"2020-01-01T08:00:00Z","updated_at":"2026-07-24T06:16:14Z","subjects":["Diabetes education","Diabetes in-service training","Inpatient diabetes management","Inpatient insulin use","Insulin errors","Nursing diabetes education"],"languages":[],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://elischolar.library.yale.edu/ysndt/1108","outbound_label":"Repository record","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Jessica Coviello"]},{"key":"dc:creator","label":"Author","values":["Tamru, Abigail"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"thesis:degree_discipline","label":"Discipline","values":["Yale University School of Nursing"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Open Access Thesis"]},{"key":"thesis:degree_name","label":"Degree Name","values":["Doctor of Nursing Practice (DNP)"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Diabetes education","Diabetes in-service training","Inpatient diabetes management","Inpatient insulin use","Insulin errors","Nursing diabetes education"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["https://elischolar.library.yale.edu/ysndt/1108"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["Insulin is the most common medication used to treat patients with diabetes in the inpatient setting. Among injectable drugs, insulin has the highest risk for error, which may result in dire consequences for patients. Registered nurses are among the main groups of clinicians that work with insulin, yet they may sometimes lack the comprehensive knowledge associated with inpatient diabetes care and insulin. The purpose of this project is to educate registered nurses at a major academic medical center about inpatient diabetes management focused on insulin therapy. The educational content was based on a medical error analysis and a current inpatient diabetes module of another major medical institution. The content included case studies and was presented as an interactive online module and evaluated using a pre-and posttest and satisfaction survey. The most common insulin-related medical errors found were (1) omission of rapid acting correction insulin, (2) omission of basal insulin, (3) omission of rapid acting insulin and, (4) administering bolus rapid acting insulin when patients are NPO. Pre-test to post-test scores on the training went from 49% to 71%. This project demonstrates a knowledge gap in inpatient diabetes management specific to use of insulin in registered nurses as well as the efficacy of an online, interactive cased-based module to improve knowledge and fill this gap.
"]},{"key":"dc:title","label":"Title","values":["Diabetes Education Revisited: Addressing Inpatient Diabetes Care Through An Interactive Educational Video Module For Registered Nurses"]}]}],"canonical_facts":{"dc:contributor":["Jessica Coviello"],"dc:creator":["Tamru, Abigail"],"dc:description.abstract":["Insulin is the most common medication used to treat patients with diabetes in the inpatient setting. Among injectable drugs, insulin has the highest risk for error, which may result in dire consequences for patients. Registered nurses are among the main groups of clinicians that work with insulin, yet they may sometimes lack the comprehensive knowledge associated with inpatient diabetes care and insulin. The purpose of this project is to educate registered nurses at a major academic medical center about inpatient diabetes management focused on insulin therapy. The educational content was based on a medical error analysis and a current inpatient diabetes module of another major medical institution. The content included case studies and was presented as an interactive online module and evaluated using a pre-and posttest and satisfaction survey. The most common insulin-related medical errors found were (1) omission of rapid acting correction insulin, (2) omission of basal insulin, (3) omission of rapid acting insulin and, (4) administering bolus rapid acting insulin when patients are NPO. Pre-test to post-test scores on the training went from 49% to 71%. This project demonstrates a knowledge gap in inpatient diabetes management specific to use of insulin in registered nurses as well as the efficacy of an online, interactive cased-based module to improve knowledge and fill this gap.
"],"dc:identifier":["https://elischolar.library.yale.edu/ysndt/1108"],"dc:subject":["Diabetes education","Diabetes in-service training","Inpatient diabetes management","Inpatient insulin use","Insulin errors","Nursing diabetes education"],"dc:title":["Diabetes Education Revisited: Addressing Inpatient Diabetes Care Through An Interactive Educational Video Module For Registered Nurses"],"thesis:degree_discipline":["Yale University School of Nursing"],"thesis:degree_level":["Open Access Thesis"],"thesis:degree_name":["Doctor of Nursing Practice (DNP)"]},"updated_at":"2026-07-24T06:16:14Z"}