Description: This publication is a quality improvement report that examines a hospital-based intervention to reduce overnight hypoglycaemia in patients with diabetes. It identifies insulin stacking as a modifiable systems issue and describes a multidisciplinary change to insulin ordering and administration workflows within the electronic health record. The report presents outcome and process data demonstrating reduced insulin stacking and fewer overnight low blood glucose events, illustrating how targeted, system-level changes can improve inpatient safety and quality of care.

Citation: Moolchandani, P., Patel, S., Larsen, T., Moriates, C., Weinreb, J., & Everett, E. (2025). Targeting insulin stacking to address overnight hypoglycaemia in hospitalised patients with diabetes. BMJ open quality, 14(1), e003178. https://doi.org/10.1136/bmjoq-2024-003178