Improving Insulin Administration Through Redesigning Processes of Care: A Multidisciplinary Team Approach.

Objectives: This article describes a quality improvement project using a multidisciplinary team approach to improve the rate of errors of omission of preprandial subcutaneous coverage insulin orders.

Methods: A Diabetic Management Work Group was created to evaluate the system processes that affect success and failure of timely administration and documentation of preprandial coverage insulin, commonly referred to as sliding scale coverage. Data before and after the project were collected to evaluate the effectiveness of a process change through the bar code medication administration system, in which preprandial coverage insulin order sets were changed to eliminate errors of omission and improve documentation.

The VA nursing academy embedded clinical education model.

The Veterans Health System (VHS) implemented a new program, the Veterans Affairs Nursing Academy, to promote partnerships between the VHS and schools of nursing to supplement faculty resources to educate more nurses and to increase recruitment of nurses in the VHS. The partnership at the University of Florida College of Nursing and the Malcolm Randall Veterans Affairs Medical Center, Gainesville, Florida, has been successful in increasing student enrollment, improving nursing care of veterans, and increasing recruitment of new graduate nurses. The partnership implemented a new model of clinical education called the embedded faculty model.