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Administering High-Strength Insulin from a Pen Device in Hospital.
September 14, 2022
Farnborough, UK: Healthcare Safety Investigation Branch; July 7, 2022.
Misuse of insulin pens contributes to never events associated with diabetic medication therapy in hospitalized patients. This investigation of an injurious insulin extraction workaround culminated in recommendations to improve insulin administration safety including the explicit use of pen devices to administer U-500 insulin.
