Johnson M S, Pesko L J, Wood C F, Reinders T P
Department of Pharmacy Services, Medical College of Virginia Hospitals (MCVH), Richmond 23298-0001.
Am J Hosp Pharm. 1990 Aug;47(8):1794-8.
The fiscal impact and acceptability of implementing a syringe-pump infusion system at a 900-bed university teaching hospital where the minibag system has been in use is reported. Researchers selected three models of syringe pumps for evaluation: the Bard Harvard Mini-Infuser 150XL, the Becton Dickinson 360 Infuser, and the Strato Stratofuse System. Each pump was evaluated for three weeks on a medical-surgical unit and a hematology-oncology unit. Drugs to be infused were chosen after a literature review to determine which drugs had been successfully infused via syringe pump; 22 formulary medications were selected. Syringes were prepared as singly packaged doses or as doses prepared in bulk and packaged frozen. Control of the syringe pumps and microbore tubing was assigned to the inpatient pharmacy staff. Nurses and pharmacy personnel were apprised of the study and taught how to use the syringe pumps. Time-and-motion studies were performed in the sterile products preparation area, and a cost analysis was done. Nurses preferred syringe pumps over the minibag system because the pumps reduced the nursing time needed to infuse a drug, administered less fluid, provided consistent infusion rates, had alarms, and were relatively easy to use. The time required to prepare syringes did not differ substantially among syringe-pump models. It was estimated that using any of the evaluated pumps in place of the minibag system would save $126,500 during the three-year period 1988-91, primarily because of differences in the cost of disposable items. The syringe-pump infusion system is an acceptable and cost-effective alternative to the minibag system.
报告了在一家拥有900张床位且一直在使用小袋输液系统的大学教学医院实施注射器泵输液系统的财政影响和可接受性。研究人员选择了三种型号的注射器泵进行评估：巴德哈佛迷你注射器150XL、贝克顿·迪金森360注射器和斯特拉托斯特拉托弗斯系统。每个泵在一个内科-外科病房和一个血液肿瘤病房进行了为期三周的评估。在查阅文献以确定哪些药物已通过注射器泵成功输注后，选择了要输注的药物；共选择了22种处方药物。注射器准备为单包装剂量或批量准备并冷冻包装的剂量。注射器泵和微管的控制工作分配给住院药房工作人员。向护士和药房人员介绍了该研究，并教授了如何使用注射器泵。在无菌产品制备区域进行了时间和动作研究，并进行了成本分析。护士们更喜欢注射器泵而不是小袋输液系统，因为泵减少了输注药物所需的护理时间，输注的液体更少，提供了一致的输注速率，有警报，并且相对易于使用。不同型号的注射器泵准备注射器所需的时间没有显著差异。据估计，在1988年至1991年的三年期间，使用任何一种评估过的泵代替小袋输液系统将节省126,500美元，主要是因为一次性用品成本的差异。注射器泵输液系统是小袋输液系统可接受且具有成本效益的替代方案。
