Administration Technique and Storage of Disposable Insulin Pens Reported by Patients With Diabetes

Mitchell, Virginia D.; Porter, Kyle; Beatty, Stuart J.

doi:10.1177/0145721712450921

Cited by 25 publications

(31 citation statements)

References 14 publications

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“…Their findings suggested that an initial education of insulin pen use results in significantly higher rates of correct usage. [17] Another study which assessed pharmacists’ role in optimizing insulin use in hospital setting indicated that pharmacist involvement can reduce the occurrence of medication errors in prescription, transcription, dispensing, and administration stage. [18] Pharmacist intervention not only may reduce the chance of medication errors through diabetes management process but also has been shown to lessen the duration of hospitalization as well as both hyperglycemic and hypoglycemic events.…”

Section: Discussionmentioning

confidence: 99%

Impact of pharmacist intervention on appropriate insulin pen use in older patients with type 2 diabetes mellitus in a rural area in Iran

Forough

Esfahani²

2017

J Res Pharm Pract

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Objective:The aim of this study was to evaluate the impact of pharmacist-conducted educational intervention on reducing errors related to inappropriate insulin pen use.Methods:This was a prospective, before-after study with an educational intervention component. The study was conducted on 122 elderly diabetic patients. Data were collected through interviews using researcher-administered questionnaires as well as patients’ medical records. Patients were asked about the preparation, injection, and storage techniques, they followed when using insulin pens. Blood glucose parameters were extracted from laboratory records. After the detection of errors, patients and their caregivers were instructed about the insulin pen use by the pharmacist. Patients were reevaluated after 12 weeks.Findings:Patients’ mean age was 67.2 ± 3.5 with male: female ratio of 71:51. Mean diabetes duration was 7.1 ± 2.8 years. Fifty-four patients (44.2%) stated that they had received instructions for insulin pen use previously. The majority of this group (24 cases, 44.4%) reported that the instructions were given by a pharmacist. The mean number of errors decreased from 3.99 ± 0.22 errors per patient to 1.49 ± 0.13 errors (odds ratio: 0.28, 95% confidence interval: 0.23–0.33,P < 0.05). Of eleven evaluated insulin pen-related medication error items, nine items experienced a significant decrease after patient education. Fasting plasma glucose (FPG) levels decreased significantly from 161.7 ± 12.5 to 147.3 ± 13.1 mg/dL (P < 0.05). However, glycated hemoglobin levels did not change significantly after 3 months (P = 0.18). Controlled FPG had a significant rise from 45% before education to 63.9% postintervention (P < 0.05).Conclusion:Pharmacists can play an important role in safe and efficient use of insulin pen in elderly diabetic patients by minimizing the likelihood of medication errors associated with insulin pen use.

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Section: Discussionmentioning

confidence: 99%

Impact of pharmacist intervention on appropriate insulin pen use in older patients with type 2 diabetes mellitus in a rural area in Iran

Forough

Esfahani²

2017

J Res Pharm Pract

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“…Reports have included technique-related concerns such as improper priming, failure to "tip and roll" suspensions, use of the pen as a multiple-dose vial, incorrect injection method, misinterpretation of fluid on the skin after an injection as delivery of a partial dose, needlestick injury, and the potential for blood-borne pathogen transmission if insulin pens are used intentionally or inadvertently in more than one patient. 11,[16][17][18][19][20][21][22][23][24][25][26][27][28][29] In response to reports of insulin pen misuse in more than one patient, the Food and Drug Administration (FDA) and Centers for Disease Control and Prevention (CDC) issued communications intended to notify healthcare professionals and the public about the potential for transmission of hepatitis B and C viruses, HIV, and other blood-borne pathogens, with recommendations for mitigating the risk of misuse. 30,31 An expert consensus panel convened by the ASHP Research and Education Foundation identified 10 practical recommendations to enhance insulin-use safety throughout the medication-use process in hospitals.…”

Section: Facilitating the Safe Use Of Insulin Pens In Hospitalsmentioning

confidence: 99%

Facilitating the safe use of insulin pens in hospitals through a mentored quality-improvement program

Lutz

Haines

Lesch

et al. 2016

American Journal of Health-System Pharmacy

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“…Those who do agree to insulin therapy will need instructions on administration. The American Association of Diabetes Educators published a review on how to safely administer insulin injections [20]:…”

Section: Identifying Barriers To Insulin Therapy: a Proactive Approachmentioning

confidence: 99%

Increasing Patient Acceptance and Adherence Toward Insulin

Riddle

Funnell

2016

Postgraduate Medicine

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Because of the progressive nature of type 2 diabetes mellitus (T2DM), the majority of patients will need insulin to achieve and maintain glycemic control. By maintaining glycemic control, patients will avoid acute osmotic symptoms of hyperglycemia, instability in plasma glucose (PG) over time, and prevent or delay the development of diabetes complications without adversely affecting quality of life. Despite recommendations for initiating insulin therapy, both patient and health system barriers stand in the way. To develop confidence in individualizing patient therapy and maximize outcomes for patients with T2DM, healthcare practitioners (HCPs) were updated on recommendations and clinical evidence supporting when to initiate insulin therapy, strategies for overcoming provider and patient barriers for initiating insulin therapy, and the safety and efficacy of current and emerging insulin therapy and delivery technology for patients with T2DM.

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Administration Technique and Storage of Disposable Insulin Pens Reported by Patients With Diabetes

Abstract: The majority of patients may be ignoring or unaware of key components for consistent insulin dosing using disposable insulin pens; therefore, initial education and reeducation on correct use of disposable insulin pens by health care professionals are needed.

Cited by 25 publications

References 14 publications

Impact of pharmacist intervention on appropriate insulin pen use in older patients with type 2 diabetes mellitus in a rural area in Iran

Impact of pharmacist intervention on appropriate insulin pen use in older patients with type 2 diabetes mellitus in a rural area in Iran

Facilitating the safe use of insulin pens in hospitals through a mentored quality-improvement program

Increasing Patient Acceptance and Adherence Toward Insulin

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