Applying Lean Techniques to Reduce Intravenous Waste Through Premixed Solutions and Increasing Production Frequency

Lin, Alex C.; Penm, Jonathan; Ivey, Marianne F.; Deng, Yihong; Commins, Monica

doi:10.1097/jhq.0000000000000043

Cited by 5 publications

(4 citation statements)

References 5 publications

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“…A recent study has also evaluated the impact of increasing the use of premixed IV solutions and increased IV production frequency on IV wastages [20]. Using these strategies, the number of wasted IV doses has been reduced from 2673 (6.14 %) to 675 (1.69 %) per month.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the causes and cost impact of returned intravenous medications at a tertiary care hospital in Riyadh, Saudi Arabia

AlSamanhodi¹,

Almeshary²,

Amoh³

et al. 2017

Trop. J. Pharm Res

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Section: Discussionmentioning

confidence: 99%

Evaluation of the causes and cost impact of returned intravenous medications at a tertiary care hospital in Riyadh, Saudi Arabia

AlSamanhodi¹,

Almeshary²,

Amoh³

et al. 2017

Trop. J. Pharm Res

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“…Por su parte, Geberbauer et al [26IV admixtures] reportaron que el uso de premezclados permite tener un mejor control del inventario, reducción del desperdicio, disminución de costos en equipos y necesidad de personal experto en la realización de mezclas, logrando garantía de calidad para productos parenterales. Estos resultados, particularmente en reducción del desperdicio, se han mostrado en estudios más recientes con el aumento del uso de premezclados disponibles comercialmente asociado a una reducción anual de miles de dosis intravenosas desperdiciadas, lo que resultaría en un ahorro potencial anual en términos económicos cercanos a $ 449 208, el cual fue calculado en un estudio específicamente para un departamento de farmacia institucional con base en el costo de desperdicios de material intravenoso, [27].…”

Section: Medicamentos Premezclados Una Alternativaunclassified

Premezclados como alternativa para el uso seguro de medicamentos intravenosos en escenarios de atención en salud

Martínez Rojas,

Ibatá Bernal,

Taborda Restrepo

et al. 2023

Rev. Colomb. Cienc. Quím. Farm.

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Objetivo: presentar el panorama de errores de medicación, los recursos asociados a la preparación de medicamentos intravenosos y el uso de premezclados en la atención en salud. Metodología: se realizaron búsquedas en diferentes bases de datos, sin límite de fecha o tipo de estudio. Adicionalmente se realizó un análisis para estimar los costos, validando con expertos los recursos en central de mezclas. Resultados: los errores de medicación son un error médico común a nivel global. Los datos disponibles son heterogéneos, pero sugieren que los errores de medicación pueden ser una causa considerable de morbilidad y mortalidad en ciertas poblaciones y contextos, con intervenciones adicionales, estancias hospitalarias prolongadas, mayores costos de atención y reducción en la probabilidad de que el tratamiento sea oportuno y eficaz. En medicinas intravenosas resultan escenarios de mayor gravedad y mayor nivel de costos. Los costos laborales anuales para una central de mezclas en Colombia se estiman entre 281,5 y 422,3 millones de pesos. La estandarización, como parte de los fármacos premezclados proporciona menor riesgo de contaminación, menor posibilidad de error en la preparación, menor incidencia de complicaciones relacionadas con la terapia, disminución del desperdicio, mejora en la oportunidad de dispensación, optimización en el trabajo de los equipos de farmacia y reducción de costos asociados con este proceso. Conclusiones: el uso de premezclados, como parte de un programa de reducción de errores de medicación, puede mejorar los indicadores de calidad en administración de medicamentos y garantizar un uso más seguro de la terapia intravenosa.

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“…Premixed medications, when available, can alleviate some of the burden on the pharmacy due to immediate availability for dispensing to patients and less errors to identify during the pharmacist's final check. 1 In light of increased intravenous (IV) medication demand and the need for medications for immediate administration, anticipatory compounding is integral to pharmacy operations. By batching premixes, anticipatory compounding can be a method of preemptively preparing common medications for faster dispensing to patients.…”

Section: Introductionmentioning

confidence: 99%

“…Jenkins et al looked at operational efficiency and found cost savings when optimizing batching times for patient-specific doses, while Lin et al examined the effects of utilizing premixed medications and found cost savings by having premixes available and by increasing the frequency of batch times. 2,1 Abbasi et al examined how an increase in sterile compounding batch frequency affected pharmaceutical waste based on the cost effects on the pharmacy, finding a reduction in cost after batch frequency was increased. 3 Utilizing such data to optimize efficiency, the decision was made for the pharmacy to batch medications three times a day to be available as premixes for dispensing to patients.…”

Section: Introductionmentioning

confidence: 99%

Impact of Anticipatory Batching of Pharmacy Compounded Sterile Products on Time to Nurse Administration

Pathan

Sullinger

Avino

et al. 2021

Journal of Pharmacy Practice

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Background: Timely medication administration is integral to patient care, and operational delays can challenge timely administration. Within an inpatient pharmacy of an academic medical center, intravenous medications were historically compounded on a patient-specific basis. In 2020, the pharmacy began batching frequently-utilized medications. This analysis explored the impact of compounded sterile batching on pharmacy and nursing services. Methods: This pre- and post-interventional study compared data from February through March 2020 with a seasonally matched period from 2019. The primary endpoint was difference in time to administration of urgent (STAT) medications. Secondary endpoints included timeframes for a pharmacy technician to prepare, a pharmacist to check, and a nurse to administer the medications, as well as reprinted labels and estimated waste. Results: On average, it took one hour and 43 minutes to administer a STAT medication in 2019 and one hour and 57 minutes in 2020 ( p = 0.122). It took about four hours to administer routine medications in 2019 and 2020 ( p = 0.488). The number of labels reprinted decreased from 616 in 2019 to 549 in 2020 ( p = 0.195), relating to decreased missing doses. The mean time to check and send a medication decreased from 2019 to 2020 for STAT orders ( p < 0.001), and there was no difference in wasted medications looking at all orders in this time. Conclusion: Anticipatory batching decreased time to prepare, check, and send medications, though there was no effect on waste or on time to administration. Future studies can examine the correlation between pharmacy operations and medication administration.

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Applying Lean Techniques to Reduce Intravenous Waste Through Premixed Solutions and Increasing Production Frequency

Abstract: IV waste was reduced through the increased use of premixed solutions and increasing IV production frequency.

Cited by 5 publications

References 5 publications

Evaluation of the causes and cost impact of returned intravenous medications at a tertiary care hospital in Riyadh, Saudi Arabia

Evaluation of the causes and cost impact of returned intravenous medications at a tertiary care hospital in Riyadh, Saudi Arabia

Premezclados como alternativa para el uso seguro de medicamentos intravenosos en escenarios de atención en salud

Impact of Anticipatory Batching of Pharmacy Compounded Sterile Products on Time to Nurse Administration

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