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Titolo:
Drug use inefficiency: A hidden source of wasted health care dollars
Autore:
Gillerman, RG; Browning, RA;
Indirizzi:
Rhode Isl Hosp, Dept Anesthesia, Providence, RI 02903 USA Rhode Isl Hosp Providence RI USA 02903 esthesia, Providence, RI 02903 USA
Titolo Testata:
ANESTHESIA AND ANALGESIA
fascicolo: 4, volume: 91, anno: 2000,
pagine: 921 - 924
SICI:
0003-2999(200010)91:4<921:DUIAHS>2.0.ZU;2-Z
Fonte:
ISI
Lingua:
ENG
Soggetto:
PHARMACEUTICAL PRACTICE GUIDELINES; SUCCESSFUL IMPLEMENTATION; CONTAMINATION; INFECTIONS; PROPOFOL;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
6
Recensione:
Indirizzi per estratti:
Indirizzo: Gillerman, RG Rhode Isl Hosp, Dept Anesthesia, 593 Eddy St, Providence, RI02903 USA Rhode Isl Hosp 593 Eddy St Providence RI USA 02903 02903 USA
Citazione:
R.G. Gillerman e R.A. Browning, "Drug use inefficiency: A hidden source of wasted health care dollars", ANESTH ANAL, 91(4), 2000, pp. 921-924

Abstract

A potential area for departmental savings is to minimize inefficient use of pharmaceuticals. We recorded drug waste data for multiple drugs for a fiscal year and surveyed providers' knowledge of departmental drug waste. Six large-cost or large-volume use drugs were chosen for study: thiopental, succinylcholine, rocuronium, atracurium, midazolam, and propofol. Amounts administered to patients were collected for one year by using a computerized anesthesia record keeper. Total drug distributed was the number of vials restocked by pharmacy for the year. An efficiency index, the percent administered to patients, was calculated for each drug. Drug administration to 25,481patients was analyzed. Drug use efficiency indices were: atracurium 29%; thiopental, 31%; succinylcholine, 33%; propofol, 49%; midazolam, 53%; rocuronium, 61%. The total cost of unadministered study drugs was $165,667, 26% of the expenditure for all drugs. Most dollars wasted were for propofol, $80,863, and thiopental, $32,839. The reason most cited for drug waste was thedisposal of full, or partially full, syringes. Drug wastage represents a significant portion of the entire anesthesia drug budget. Waste reduction strategies should allow a portion of the "avoidable" waste to be reduced.

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Documento generato il 07/08/20 alle ore 20:25:01