Donnelly E B, Witte K W, Eck T A, LaPlume G
Hospital Pharmacy Services, University of Illinois Hospital, Chicago 60612.
Am J Hosp Pharm. 1988 Mar;45(3):601-4.
Evaluation and selection of volumetric infusion-control devices (ICDs) by an interdisciplinary committee in a university teaching hospital is described. The committee, which was originally formed to evaluate problems with the existing system of ICD management, determined that the ICDs in use at the hospital were outdated. After gathering information on the types of ICDs available and identifying options for replacing the existing equipment, the committee decided to replace some of the devices with new volumetric ICDs. A six-page evaluation form was mailed to ICD manufacturers, and representatives from 16 manufacturers were invited to demonstrate their devices to the committee members. Five manufacturers were then invited to participate in a two-week, inhouse comparative trial, during which the devices were objectively evaluated by nurses, the bioinstrumentation department, and the ICD committee. The results of that evaluation were used to construct bid specifications. The decision of which ICDs to purchase was based on cost factors and the degree to which the devices met the specifications. The use of a multidisciplinary committee to evaluate and select new ICDs was an effective strategy. The devices that were purchased represented improvements in patient safety and cost-effectiveness.
本文描述了一所大学教学医院的一个跨学科委员会对容量输液控制设备(ICD)的评估和选择过程。该委员会最初成立是为了评估现有ICD管理系统存在的问题,委员会认定医院正在使用的ICD已经过时。在收集了市面上可用的ICD类型信息并确定了替换现有设备的选项后,委员会决定用新的容量ICD替换部分设备。一份六页的评估表被邮寄给ICD制造商,16家制造商的代表被邀请向委员会成员展示他们的设备。随后,五家制造商被邀请参加为期两周的内部对比试验,在此期间,护士、生物仪器部门和ICD委员会对这些设备进行了客观评估。该评估结果被用于制定招标规格。购买哪些ICD的决定基于成本因素以及设备符合规格的程度。使用多学科委员会来评估和选择新的ICD是一种有效的策略。所购买的设备在患者安全和成本效益方面有了改进。