Identifying Costs of Intravenous Solution Wastage
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A monitoring programme to systematically evaluate and decrease wastage of intravenous (IV) solutions was developed. Documentation of type and quantity of wasted solutions can help identify potential causes of waste. Subsequent systems changes intended to decrease waste can then be evaluated. Pharmacy technicians daily recorded the number, identity and locations of discarded IV solutions. A computer spreadsheet application was developed and used to produce a monthly summary identifying the number, drug cost and solutions wasted by hospital unit, thus establishing specific areas to target for IV wastage control. Investigators conducted a 12-month retrospective eva luation of IV wastage, revealing that over 14000 IV preparations were destroyed at an estimated $US90 000 in drug costs. This equates to 2.5% of total drug costs wasted in small volume parenterals. Target programmes were implemented for drugs that were frequently wasted and systems changes implemented that decreased overall wastage of IV solutions.
KeywordsDobutamine Ondansetron Total Parenteral Nutrition Drug Cost Idarubicin
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