Insulin, hospitals and harm: a review of patient safety incidents reported to the National Patient Safety Agency

Clin Med (Lond). 2011 Feb;11(1):28-30. doi: 10.7861/clinmedicine.11-1-28.


Patient safety incidents involving insulin are frequent and cause considerable distress to people with diabetes and anxieties to their families and carers. This article describes an analysis of the National Reporting and Learning System database of patient safety incidents concerning insulin reported from NHS providers in England and Wales over six years. The main causes are discussed and the ongoing developments by the National Patient Safety Agency and partner organisations to reduce insulin errors are described.

Publication types

  • Comparative Study

MeSH terms

  • Adverse Drug Reaction Reporting Systems / organization & administration*
  • Critical Care / statistics & numerical data*
  • England
  • Humans
  • Hypoglycemic Agents / pharmacology*
  • Insulin / pharmacology*
  • Medication Errors / classification*
  • Medication Errors / prevention & control
  • Retrospective Studies
  • Safety Management / organization & administration*
  • Wales


  • Hypoglycemic Agents
  • Insulin