Lin Y C, Miller S R
Department of Anesthesia, Stanford University School of Medicine 94305, USA.
J Clin Anesth. 1998 Aug;10(5):401-3. doi: 10.1016/s0952-8180(98)00053-1.
To determine whether placing price labels on the vial caps of muscle relaxants increases cost consciousness among anesthesiologists.
Retrospective study.
University hospital departments of anesthesia and pharmacy.
We placed price labels on the vial caps of all muscle relaxants for a study period of 1 year. At the beginning of the investigation, we informed the anesthesiologists of the study, discussed the prices for different muscle relaxants, and encouraged utilizing less expensive muscle relaxants whenever possible without compromising patient care. The price labels on the vial caps served as visual reminders of the various costs of muscle relaxants during daily practice. We compared the total amount spent on each muscle relaxant during the period from October 1993 to September 1994 with the period from October 1994 to September 1995. The total number of surgical cases from October 1993 to September 1994 and from October 1994 to September 1995 was unchanged and equaled 20,389 and 20,358 cases, respectively. Expenditures for pancuronium increased 104.1%. Total expenditure decreased by 12.5%, with a net savings of $47,111.
Expenditures for the less costly pancuronium increased while expenditures for vecuronium and atracurium decreased. Price labeling of muscle relaxants in conjunction with education reduces total pharmacy expenditure on muscle relaxants.
确定在肌肉松弛剂的药瓶帽上贴上价格标签是否能提高麻醉医生的成本意识。
回顾性研究。
大学医院的麻醉科和药房。
在为期1年的研究期间，我们在所有肌肉松弛剂的药瓶帽上贴上了价格标签。在调查开始时，我们告知麻醉医生该研究，讨论了不同肌肉松弛剂的价格，并鼓励在不影响患者护理的情况下尽可能使用较便宜的肌肉松弛剂。药瓶帽上的价格标签在日常工作中作为肌肉松弛剂各种成本的视觉提醒。我们比较了1993年10月至1994年9月期间与1994年10月至1995年9月期间每种肌肉松弛剂的总花费。1993年10月至1994年9月以及1994年10月至1995年9月的手术病例总数不变，分别为20389例和20358例。泮库溴铵的支出增加了104.1%。总支出下降了12.5%，净节省47111美元。
较便宜的泮库溴铵支出增加，而维库溴铵和阿曲库铵的支出减少。肌肉松弛剂的价格标签结合教育可降低肌肉松弛剂的药房总支出。
