Practice skill regarding using of the insulin pen
The three most incorrect steps were skipping to prime pen needle (90.9%), not removing the used needle from the pen after using (87.8), and not holding for specific count time before withdrawal of pen needle from skin (50.7%). Particularly, 44 of 118 (37.3%) patients using mixed insulin did not mix them before injection. Medication errors related to insulin pen practice were reported commonly in many studies9. Mitchell et al, revealed that three-fourths of users did not follow the manufacturer’s instructions for proper administration and storage of insulin pens9.