Description: This publication examines a hospital intervention to reduce overnight hypoglycaemia by targeting insulin stacking as a modifiable systems issue. It outlines multidisciplinary changes to insulin ordering and administration workflows in the electronic health record and presents data showing reduced stacking and fewer overnight low‑glucose events, demonstrating how workflow redesign can improve inpatient safety.

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