Impact of Implementing Smart Infusion Pumps in an Intensive Care Unit in Mexico: A Pre-Post Cost Analysis Based on Intravenous Solutions Consumption
| Autor: | Marcos Antonio Amezcua-Gutiérrez, Lucila I. Castro-Pastrana, Isaac F Soria-Cedillo, Elizabeth Lozano-Cruz, Erika Palacios Rosas, Sergio Edgar Zamora-Gómez, Fabiola Puértolas-Balint, Rebecca Ibarra-Pérez |
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| Rok vydání: | 2019 |
| Předmět: |
Pharmacology
Consumption (economics) business.industry Intravenous solutions Pharmacy Original Articles 030226 pharmacology & pharmacy Dosing units Intensive care unit Security software law.invention 03 medical and health sciences 0302 clinical medicine law Intensive care Cost analysis Medicine Pharmacology (medical) Operations management 030212 general & internal medicine business IV SOLUTIONS |
| Zdroj: | Hosp Pharm |
| ISSN: | 0018-5787 |
| Popis: | Background: The use of smart pump technology has shown to be profitable in the intensive care unit (ICU) because it avoids costs from prevented medication errors and allows for savings on disposables and medications by establishing standardized concentrations and dosing units. Objective: The objective of the study is to evaluate the economic impact of the implementation of smart infusion pumps in the consumption of intravenous (IV) solutions in an ICU. Methods: A retrospective observational study was conducted with a pre-post design. The study occurred in the adult ICU of the Hospital Juárez de México. The pattern of consumption of IV solutions (sodium chloride 9%, Hartmann’s solution, dextrose 5% and 10%, sodium chloride 0.9% with dextrose 5%) was analyzed preimplementation and postimplementation of 50 Plum A+™ pumps with Hospira MedNet™ security software. Using the TreeAge Pro 2016 software, deterministic and probabilistic analyses were carried out (10 000 Monte Carlo simulations) to confirm the robustness of the annual consumption comparison and the associated expenses before and after implementing smart technology. Results: The implementation of the smart pumps reduced the annual consumption of IV solutions to 8994 units (18%) and 3649 liters (22.3%). In the first year, MXN$55 850.97 were saved. From an institutional perspective and with a probability of 0.63, the use of MedNet™ technology proved to be a lower cost alternative (17.1% saved) with respect to the conventional infusion systems. Conclusion: The implementation of smart infusion pumps allows savings, specifically for the IV solutions used in ICU. |
| Databáze: | OpenAIRE |
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