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PSNet: Patient Safety Network
Journal Article

Medication errors associated with transition from insulin pens to insulin vials.

Trimble AN, Bishop B, Rampe N. American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists. 2017;74:70-75.

Insulin is a high-risk medication. This pre–post study examined the risk for insulin dosing errors after a transition from insulin pens to vials. Three major insulin administration errors occurred, which led to training and process changes in order to mitigate the risk of harm.