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首页> 外文期刊>The Canadian journal of hospital pharmacy. >Analyse de minimisation de cout des fournitures utilisees pour la preparation et I'administration d'une dose d'antineoplasique en etablissement de sante
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Analyse de minimisation de cout des fournitures utilisees pour la preparation et I'administration d'une dose d'antineoplasique en etablissement de sante

机译：卫生机构抗冰剂量施用和施用施用的耗材最小化分析

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Background: Many strategies aim to reduce the risk of work-related exposure to hazardous drugs for health care workers; these strategies include the use of specific systems to prepare and administer these drugs. Objective: To compare the cost of supplies used for preparing and administering one IV dose of antineoplastic in an adult health care facility in Canada between the traditional approach and one using a closed-system drug transfer device (CSTD). Method: This study was a cost reduction analysis conducted from the perspective of a typical university health care facility. The assessment focused only on the cost of supplies used to prepare and administer one IV dose of antineoplastic. It was not necessary to account for discounting. We developed 12 scenarios involving some of the 11 possible steps in preparing and administering one IV dose of antineoplastic. Results: The cost of supplies used to prepare and administer one IV dose of antineoplastic ranged between $9.89 and $22.37 per dose with the classical system, and between $12.34 and $64.19 per dose for systems involving a CSTD. The annual average extra cost of systems involving a CSTD was 1.63 to 3.15 higher than the cost with the classical system and represents extra spending of between $363 566 and $1 238 072 each year for a typical adult health care institution. Conclusion: This cost reduction analysis presents original data relating to the preparation and administration of IV antineoplastics. Given the significant costs associated with preparing and administering antineoplastic drugs, decision-makers should perform a thorough analysis of costs and consequences to allow informed decisions to be made.
机译：背景：许多策略旨在降低医护人员因工作接触危险药物的风险；这些策略包括使用特定系统来制备和管理这些药物。目的：比较传统方法和使用封闭系统药物转移装置（CSTD）的方法在加拿大成人医疗机构中用于制备和静脉注射一剂抗肿瘤药物的供应成本。方法：本研究是从一个典型的大学医疗机构的角度进行的成本降低分析。评估只关注用于准备和管理一剂IV抗肿瘤药物的用品成本。没有必要考虑折扣。我们制定了12个方案，涉及准备和静脉注射一剂抗肿瘤药物的11个可能步骤中的一些。结果：用于制备和管理一剂IV抗肿瘤药物的用品的成本在经典系统中为每剂9.89美元至22.37美元之间，涉及CSTD的系统为每剂12.34美元至64.19美元之间。涉及CSTD的系统的年平均额外成本比传统系统的成本高1.63至3.15美元，代表典型成人医疗机构每年的额外支出在363 566美元至1238 072美元之间。结论：这项成本降低分析提供了与静脉注射抗肿瘤药物的制备和给药相关的原始数据。考虑到制备和服用抗肿瘤药物的巨大成本，决策者应该对成本和后果进行彻底分析，以便做出明智的决定。

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