Better Pairing Propofol Volume With Procedural Needs: A Propofol Waste Reduction Quality Improvement Project
| Autor: | Heather S. Hill, Jennifer S. Kicker, Christina K. Matheson |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
Quality management Adolescent Sedation medicine.medical_treatment Economic shortage 030226 pharmacology & pharmacy Pediatrics Drug Costs Young Adult 03 medical and health sciences 0302 clinical medicine Cost Savings Interquartile range 030225 pediatrics Humans Hypnotics and Sedatives Medicine Intubation Dosing Medical Waste Disposal Practice Patterns Physicians' Child Propofol Retrospective Studies business.industry Infant Newborn Infant General Medicine Quality Improvement Current practice Child Preschool Anesthesia Pediatrics Perinatology and Child Health Female Deep Sedation medicine.symptom business medicine.drug |
| Zdroj: | Hospital Pediatrics. 8:604-610 |
| ISSN: | 2154-1671 2154-1663 |
| DOI: | 10.1542/hpeds.2018-0010 |
| Popis: | BACKGROUND AND OBJECTIVES: Propofol facilitates deep sedation without requiring intubation and is often used by infusion to maintain sedation. Variability in ordering and preparation strategies resulted in significant propofol volumes wasted at the conclusion of procedures in our clinic. With drug shortages now common, we designed a quality improvement initiative to reduce our propofol waste. METHODS: Data collection during the preintervention phase reflected current practice trends. Two propofol dosing tables (≥50 or RESULTS: A total of 155 patients received a propofol infusion to maintain deep sedation. The preintervention phase included 77 patients, and the intervention phase included 78 patients. Special cause variation was achieved in the intervention phase. Median (interquartile range) propofol waste volume per procedure declined from 45.6 mL (24.3–71 mL) to 14.3 mL (9.6–19.4 mL), representing a 68% waste reduction. CONCLUSIONS: Using an internally derived systematic approach to ordering and preparing a propofol infusion, we reduced variability, reduced propofol waste, and created cost savings for our organization. This approach is tailorable to other infusions and clinical settings. |
| Databáze: | OpenAIRE |
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