每月一次使用C.E.R.A.节省的时间：在意大利13个血液透析中心进行的时间与动作研究。

Time Savings with Once-Monthly C.E.R.A.: A Time and Motion Study Conducted in 13 Haemodialysis Centres in Italy.

作者信息

De Cock Erwin, Kritikou Persefoni, Ravera Simona, Filippini Armando

出版信息

Blood Purif. 2015;40(2):173-9. doi: 10.1159/000437133.

DOI:10.1159/000437133

PMID:26303977

Abstract

BACKGROUND

We sought to document the time required by health care professionals to administer erythropoiesis-stimulating agents (ESAs) and continuous erythropoiesis receptor activator (C.E.R.A.) in the management of renal anaemia.

METHODS

A Time and Motion study was conducted in 13 centres in Italy. The time spent on preparation, distribution, and injection for both ESA and C.E.R.A. groups was measured. A multilevel model was run to account for the centre-clustering effect.

RESULTS

The average number of ESA injections/patient/year was 89. The average uptake of C.E.R.A. was 26%. The average time per session was 1.54 min for ESA (95% CI 1.21-1.86) vs. 1.64 min for C.E.R.A. (95% CI 1.31-1.97). Estimated time/patient/year was 137 min for ESA and 20 min for C.E.R.A. Assuming a 100% uptake of C.E.R.A., annual time savings/centre would be 84% (194 h).

CONCLUSIONS

Substantial annual time savings on frequent anaemia management-related tasks were found when a switchover was made from ESAs to C.E.R.A.

摘要

背景

我们试图记录医疗保健专业人员在管理肾性贫血时给予促红细胞生成素（ESA）和持续促红细胞生成素受体激活剂（C.E.R.A.）所需的时间。

方法

在意大利的13个中心进行了一项时间与动作研究。测量了ESA组和C.E.R.A.组在准备、分发和注射上所花费的时间。运行了一个多层次模型来考虑中心聚类效应。

结果

每位患者每年ESA注射的平均次数为89次。C.E.R.A.的平均使用率为26%。ESA每次注射的平均时间为1.54分钟（95%置信区间1.21 - 1.86），而C.E.R.A.为1.64分钟（95%置信区间1.31 - 1.97）。估计每位患者每年使用ESA的时间为137分钟，使用C.E.R.A.的时间为20分钟。假设C.E.R.A.的使用率为100%，每个中心每年节省的时间将为84%（194小时）。