Insulin Dosage Preparation and Administration: Prefilled Pens versus Syringes.
Background: Insulin delivery systems are continually evolving and today syringes or prefilled pens predominate. An efficient insulin delivery system may recover time, improve safety and reduce healthcare costs. Aim: To quantify the time required to prepare and administer insulin doses using prefille...
| Publicado en: | Journal of Pharmacy Practice & Research Vol. 43; no. 3; pp. 198 - 202 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Sep2013
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=91282997&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 91282997 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 1445937X 6CKV jtl: Journal of Pharmacy Practice & Research issn: 1445937X maglogo: N pubinfo: dt: Sep2013 vid: 43 iid: 3 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 91282997 104144349 104144349 10.1002/j.2055-2335.2013.tb00254.x 91282997 ppf: 198 ppct: 4 formats: fmt: @attributes: type: P tig: atl: Insulin Dosage Preparation and Administration: Prefilled Pens versus Syringes. aug: au: Rollins, Brett M. Lee, Diana C. Silva, Matthew A. affil: School of Pharmacy, Massachusetts College of Pharmacy and Health Sciences, Worcester, MA. sug: subj: Insulin Administration and Dosage Drug Delivery Systems Statistics and Numerical Data Drugs, Prescription Human Time Factors Syringes T-Tests Descriptive Statistics Data Analysis Software Confidence Intervals Comparative Studies Chi Square Test Wilcoxon Signed Rank Test ab: Background: Insulin delivery systems are continually evolving and today syringes or prefilled pens predominate. An efficient insulin delivery system may recover time, improve safety and reduce healthcare costs. Aim: To quantify the time required to prepare and administer insulin doses using prefilled pens or syringes. Method: An insulin delivery simulating protocol was followed. Insulin preparation and administration was timed from the receipt of the medication order until the end of administration. A 2:1 syringe to pen allocation ratio was used; syringes were the control. Two operators were each assigned 58 pen and 116 syringe doses; total of 348 insulin doses. Results: Randomisation distributed doses uniformly by device and operator. The mean (SD) dose delivered by syringe was 30.4 ± 17 units and 30.3 ± 17.7 units by pen (p = 1.0). Mean dose (p = 0.3) and administration time (p = 0.6) between operators were also similar. Mean administration time for doses delivered by syringe was 71 ± 10.9 seconds and 52.1 ± 9 seconds by pen. Mean time difference between devices was 18.9 seconds (95%CI 17–21; p ≤ 0.0001). Operators prepared and administered doses more quickly over time. Conclusion: There was a 27% reduction in preparation and administration time when prefilled insulin pens were used. A consistent training effect occurred, which was similar between operators and independent of volume. As product features and operator training influence insulin delivery efficiency, institutions should consider these factors along with efficacy, safety and acquisition costs when selecting prefilled pens or syringes. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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