Cost, Time, and Error Assessment During Preparation of Parenteral Nutrition: Multichamber Bags Versus Hospital-Compounded Bags
| Autor: | A Vázquez, María Yébenes, Amalia Torralba, María Reyes Abad, Mercedes Cervera‐Peris, M. Asunción Almendral, Esther Ramírez, Álvaro Muñoz, Rosa Romero-Jiménez, Ana Fernández, Guadalupe Piñeiro, David Berlana |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
safety
Parenteral Nutrition Time Factors 030309 nutrition & dietetics Medicine (miscellaneous) parenteral nutrition Toxicology 03 medical and health sciences 0302 clinical medicine cost analysis Medicine Humans Prospective Studies health care economics and organizations standardization 0303 health sciences Parenteral Nutrition Solutions Nutrition and Dietetics Medical Errors business.industry preparation error Hospitals Cost savings compounding Parenteral nutrition Cost analysis Costs and Cost Analysis 030211 gastroenterology & hepatology multichamber-bag business Pharmacy Service Hospital hospital-compounded bag |
| Zdroj: | JOURNAL OF PARENTERAL AND ENTERAL NUTRITION r-IIS La Fe. Repositorio Institucional de Producción Científica del Instituto de Investigación Sanitaria La Fe instname |
| ISSN: | 0148-6071 |
| Popis: | BACKGROUND Parenteral nutrition (PN) is associated with material and manpower costs and requires preparation time. The aim of this study was to evaluate the cost of PN using multichamber bags (MCBs) compared with hospital-compounded bags (COBs). The secondary aim of this study was to assess and compare preparation time and errors related to the production and preparation processes of PN bags. MATERIALS AND METHODS A prospective, observational, cost-accounting study was conducted in 10 Spanish hospital pharmacy services. The cost assessments included components, raw materials, and hospital staff. Only PN bags with equivalent volume and nutrition value were included in the analyses. Assessment of errors related to PN was performed simultaneously with the cost and time comparison analyses. RESULTS Among the 597 PN bags (295 MCBs, 302 COBs) evaluated, 392 PN bags (295 MCBs, 97 COBs) had an equivalent volume and nutrition value. The mean (standard deviation) total cost of the MCB was $62.11 ($12.34) per bag compared with $67.54 ($8.50) per bag for COBs, resulting in a significant cost savings of $5.71. On average, the time required to prepare an MCB was 38 minutes shorter (P < .001). Significantly fewer total number (percent) of errors was observed in the preparation of MCBs (3 [1.0%]) compared with COBs (15 [5.0%]); P < .01). CONCLUSION The use of MCBs results in significant savings in cost and preparation time, which may have a beneficial effect on the economic burden associated with PN as well as a reduction in errors related to PN preparation. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text