Implementation of Best Practices for Safer Insulin Pen Use: Stories from the Frontline

Date & Time:
Tuesday, March 28, 2017, from 1:30pm - 3:00pm EDT

Program Overview:

A variety of insulin pen injectors (collectively called "pens") are currently available in the US, with more products and concentrations becoming readily available every year. Intended primarily to facilitate easy and accurate outpatient self-administration of insulin, pen devices are also used in many hospitals across the US. There are a number of benefits to choosing insulin pens over vials including having a pre-labeled product in a ready-to-use form, lessening insulin waste, and giving the patient an opportunity to master administration techniques with the same device they are likely to use to administer insulin after discharge.

Despite these advantages, a number of hospitals have been significantly concerned about the use of pen devices because of the potential for blood-borne pathogen transmission if the pen device would be accidentally used on more than one patient. Such inadvertent multi-patient use of pen devices has been widely publicized in the media, effecting thousands of patients as far back as 2009. 

While many organizations using pens have adopted a number of manual strategies to reduce the frequency of pen mix up or reuse, none are quite so promising for safety than the best practice distribution of a patient-specific pen from pharmacy with support of an integrated CPOE and barcoding system. Join ISMP and our expert faculty as they describe the challenges faced at their organizations to ensure the safety of insulin pen use, and the steps they each have taken to implement best practices to enhance the safety of insulin pen use. In addition, our speakers will describe a number of risk identification measures used to alert practitioners to the potential use of an insulin pen on more than one patient.   


Intended Audience:
Interdisciplinary teams are encouraged to attend together:

  • Hospital and Health System Leadership
  • Quality and Risk Management Leaders
  • Physician, Pharmacy, and Nursing Leaders
  • Patient and Medication Safety Officers
  • Frontline Practitioners
  • Certified Diabetic Educators
  • Clinical Pharmacy Staff

Following completion of the webinar, participants will be able to:

  • Describe the benefits and risks associated with insulin pens in a hospital setting
  • Describe how patient-specific barcoding can be implemented to enhance the safety of insulin pen use in the hospital
  • Explain how the use of real time alerts can reduce the risk of blood and body fluid exposure resulting from use of an insulin pen on more than one patient

Amy F. Rosenberg PharmD, BCPS
Medication Safety Specialist
Shands at the University of Florida

Department of Pharmacy Services

Melissa Carlson PharmD, BCPS
Assistant Director of Clinical Services and Medication Safety Officer
University of Minnesota Medical Center

Michael Cohen, RPh, MS, ScD (hon), DPS (hon), FASHP

Institute for Safe Medication Practices
Horsham, PA

This webinar is approved for 1.5 hours of Pharmacy Continuing Education and 1.0 hours of Nursing Continuing Education. There is no additional charge for the continuing education credits for this webinar.

Educational Review Systems is accredited by the Accreditation Council for Pharmacy Education (ACPE) as a provider of continuing pharmaceutical education. This program is approved for 1.5 hours (0.15 CEUs) for both pharmacists and pharmacy technicians. Educational Review Systems is also approved for pharmacy continuing education by the state of Florida.

Live Continuing Education Credits must be completed by 4/28/2017. We are unable to process the request after this date.
Enduring Continuing Education Credits will expire on 3/28/2019 but must be completed within 30 days of the date you watched the program. We are unable to process the request after this date.

ALL CANCELLATIONS MUST BE RECEIVED AT LEAST 24 HOURS PRIOR TO THE START OF A WEBINAR, IN WRITING, VIA EMAIL TO Feel free to contact ISMP if you have any questions or comments. We can be reached at 200 Lakeside Drive, Suite 200, Horsham, PA, 19044, Phone: (215) 947-7797, Fax: (215) 914-1492, Email:


Name Live Date & Time Cost
Live Webinar Only March 28, 2017 at 1:30 PM $215.00
Live Webinar and CD Recording* March 28, 2017 at 1:30 PM $250.00
CD Recording* Only $220.00

*ISMP's CD Recording will be mailed to the address you provide on your registration. Please allow 2-3 weeks after the live webinar for the CD to be delivered. The Recording version of the webinar is not available to view online.

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