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Insulin guidance released by NPSA

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Guidance aimed at reducing the number of wrong dose incidents involving insulin has been published by the National Patient Safety Agency.

The Rapid Response Report is a response to 3,881 patient safety incidents reported between 2004 and 2009. These included one death and one case of severe harm that occurred after clinicians misinterpreted the abbreviation of the term “unit”.

A further three deaths and 17 other incidents occurred in this period, where an intravenous syringe was used to measure and administer insulin.

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