Reilly R T, Strand L M, Bair J N
Am J Hosp Pharm. 1985 Feb;42(2):323-8.
Pharmacy department costs for preparing and administering intermittent i.v. drug doses using a piggyback bottle system and a syringe pump system were predicted and compared. Centralized i.v. admixture service personnel time for preparation of small-volume injections in piggyback bottles was recorded for 14 days. After a four-week orientation of personnel to the syringe pump system, personnel time for preparation of doses in this system was recorded for 14 days. Material costs were itemized for each system and annual costs were predicted. Costs were calculated on the basis of the previous year's purchasing data, assuming that 80% of intermittent i.v. drug doses could be given by the syringe pump system. Syringe pump system costs were calculated for administration of one to eight drug doses through each secondary infusion set; 5-mL and 10-mL syringes were used. Preparation time was slightly longer for the syringe pump system than for the piggyback bottle system; the annualized personnel cost difference was $0.012 per dose. Based on one dose per secondary infusion set, material costs were higher for the syringe pump system. Based on administration of four doses through each secondary infusion set, overall costs were lower for the syringe pump system. Lower material acquisition costs for the syringe pump system could result in pharmacy department cost savings if at least four intermittent i.v. drug doses were administered through each secondary administration set.
预测并比较了使用输液瓶系统和注射泵系统配制和给予间歇性静脉注射药物剂量时药房部门的成本。记录了14天集中式静脉药物混合服务人员用输液瓶配制小容量注射剂的时间。在对人员进行为期四周的注射泵系统培训后，记录了14天该系统配制剂量的人员时间。列出了每个系统的材料成本并预测了年度成本。成本是根据上一年的采购数据计算的，假设80%的间歇性静脉注射药物剂量可以通过注射泵系统给予。计算了通过每个二级输液器给予1至8个药物剂量时注射泵系统的成本；使用了5毫升和10毫升注射器。注射泵系统的配制时间比输液瓶系统略长；年化人员成本差异为每剂0.012美元。基于每个二级输液器一剂，注射泵系统的材料成本更高。基于每个二级输液器给予四剂，注射泵系统的总成本更低。如果每个二级给药装置至少给予四个间歇性静脉注射药物剂量，注射泵系统较低的材料采购成本可能会节省药房部门的成本。
