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module menu icon Insulin-related medication errors

The most common insulin-related medication errors are:

  • Prescribing errors where abbreviations are added to the intended dose (e.g. using U or IU rather than units) and the dose is misread
  • Dispensing errors where the incorrect insulin or insulin device is given to patients, or where the dose is misread as a result of inappropriate use of abbreviations
  • Administration errors, for example with the inappropriate use of non-insulin syringes (e.g. intravenous syringes), which are marked in ml and not in insulin units, or where the incorrect dose of insulin is given as a result of inappropriate prescribing.
  • Insulin passports were introduced to address these errors and enable safety checks when prescribing and dispensing to ensure the correct insulin product is prescribed and dispensed, as well as to function as alert cards that can be easily carried by patients or their carers.

    Pharmacy teams can support patients by checking they have an insulin passport, that its contents are current, and that patients know how to describe their insulin products.

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