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Q Bulletin, Volume 1, No. 32 (Supplement 1), Jan - Dec 202412th National QA Convention, 8 %u2013 10 October 2024OP-22Reducing the Percentage of Improper Insulin Pen Care Handling among Patients inKampar District Health OfficeNor Zuraida AW1, Tang XH1, Saidatul Umairah S1, Elleasha MK1, Nurul Diyana MS2, Hazrina Aliya HA2,Farah Mardiah AK2, Nuraini O3, Ahmad Faris MN4, Muhammad Amirul Helmi R51Kampar District Health Of ice, Kampar, Perak2Kampar Health Clinic, Kampar, Perak3Gopeng Health Clinic, Kampar, Perak4Malim Nawar Health Clinic, Kampar, Perak5Mobile Clinic, Kampar, PerakSELECTION OF OPPORTUNITIES FOR IMPROVEMENT:Improper insulin pen care handling can increase dosing errors, insulin degradation and the risk ofinfection. A verification study in Feb-Mac 2023 showed 18 out of 23 insulin pen issues were due toimproper pen care handling. This project aims to reduce the percentage of improper insulin pen carehandling among patients in the three health clinics under Kampar District Health Office.KEY MEASURES FOR IMPROVEMENT:The indicator is the percentage of improper insulin pen care handling. The standard is %u22640.5%, as agreedupon in the Pharmacy Department Meeting.PROCESS OF GATHERING INFORMATION:This was a quality improvement study using universal sampling of all insulin pen patients in the threehealth clinics across two cycles. The pre-intervention phase (Feb-Mar 2023) included a sample size of1,208 patients, cycle 1 (Jul-Aug 2024) involved 1,169 patients, and cycle 2 (Dec 2023-Jan 2024) involved1,183 patients. A questionnaire was developed to identify the contributing factors.ANALYSIS AND INTERPRETATION:During the pre-intervention phase, 1.5% (n=18/1,208) cases of improper insulin pen care handling wasdetected with an ABNA of 1.0%. Contributing factors included insufficient education (44%),misinformation (16%), inadequate counselling materials (11%), age and cognitive factors (11%),language barriers (6%), limited health literacy (6%) and time constraint (6%).STRATEGIES FOR CHANGE:Measures were implemented to improve patients' understanding and adherence to insulin pen care. Theseincluded distributing Rescue Cards, providing instructional videos in multiple languages, using flip chartsduring counselling, giving infographic handbooks, conducting follow-up counselling for new patients,and displaying reminder cards at the pharmacy counter.EFFECT OF CHANGE:The strategies reduced improper insulin pen care handling from 1.5% to 0.9% in cycle 1 and to 0.6% incycle 2. The ABNA decreased from 1.0% to 0.4% in cycle 1 and to 0.1% in cycle 2.THE NEXT STEP:The successful improvement will extend to the Diabetic Clinic at Kampar District Health Office andstrategies reinforcement towards achieving the standard in the future.47 | Page