Insulin Therapy in Diabetes Management

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What is the primary reason for avoiding insulin therapy among patients and physicians?

Lack of clear guidelines and educational materials

Fear of weight gain and injections (correct)

Fear of cardiovascular risk

Uncontrolled blood glucose levels and hyperglycemia symptoms

What is the primary focus of quality assurance in medical care?

Developing clear guidelines and educational materials

Implementing protocols and standards to improve outcomes (correct)

Improving quality of life and life expectancy

Reducing the number of medical errors in insulin dosing

What is the consequence of uncontrolled blood glucose levels and hyperglycemia symptoms?

Reduced risk of medical errors in insulin dosing

Improved quality of life and life expectancy

Improved outcomes in diabetes care

Increased cardiovascular risk and damage to microvascular circulation (correct)

What is the percentage of patients who have experienced medical errors in insulin dosing?

Over 40% Signup and view all the answers

What is the ideal outcome of quality assurance in diabetes care?

Improving quality of life and life expectancy Signup and view all the answers

What is the primary benefit of starting insulin therapy when glycemia is well-controlled?

Maintaining optimal health Signup and view all the answers

What percentage of nursing home patients receive inadequate insulin according to studies in the UK and Canada?

40% Signup and view all the answers

What is the main purpose of quality assurance in insulin dosing?

To identify discrepancies and improve physician knowledge and performance Signup and view all the answers

What is the current basis for insulin dosing guidelines?

Expert opinion, clinical experience, and small trials Signup and view all the answers

What is the benefit of using an evidence-based algorithm in insulin dosing?

Improving glycemic target achievement Signup and view all the answers

What is the ultimate goal of standardizing insulin dosing guidelines?

To help physicians more effectively dose insulin Signup and view all the answers

What percentage of malpractice claims against diabetes healthcare providers are related to injury from incorrect insulin dosing regimens?

17% Signup and view all the answers

Why is insulin considered a high-risk medication?

It requires close monitoring and frequent dosage adjustments Signup and view all the answers

What is the result of insulin errors compared to other medication errors, according to a large retrospective study?

A ninefold higher mortality rate Signup and view all the answers

What is a common issue with insulin dosing that contributes to errors?

The complexity of insulin types Signup and view all the answers

What is the consequence of insulin dosing errors, particularly among low-income patients?

Increased healthcare utilization and cost Signup and view all the answers

What is essential for improving glycemic control in both inpatient and outpatient settings?

Quality assurance Signup and view all the answers

What is a suggested strategy for accurate insulin dosing?

Developing an electronic insulin dosing decision support system Signup and view all the answers

What is a quality assurance measure that involves creating a 'care map' or 'algorithm'?

Quality monitoring Signup and view all the answers

What is the purpose of recognizing and learning from dosing errors in quality assurance measures?

To identify areas for improvement Signup and view all the answers

What is the benefit of a standardized insulin order set?

It simplifies the insulin system and reduces the risk of dose errors Signup and view all the answers