How a CQI program improved aminoglycoside use in a community hospital

Area of Science:

• Pharmacology
• Clinical Pharmacy
• Health Economics

Background:

• The P & T Committee of a 285-bed, non-tertiary care regional medical center initiated a study.
• Evaluation of aminoglycoside use is crucial for optimizing patient care and resource allocation.

Purpose of the Study:

• To assess the utilization patterns of amikacin sulfate (Amikin).
• To determine the impact of an educational intervention on aminoglycoside prescribing.
• To estimate potential annual cost savings through appropriate aminoglycoside use.

Main Methods:

• A Drug Utilization Evaluation (DUE) was conducted.
• An educational initiative was implemented.
• Cost analysis was performed based on prescribing data.

Main Results:

• Results from an initial DUE are presented.
• Outcomes following the educational effort are detailed.
• Estimated annual cost savings associated with appropriate aminoglycoside prescribing are reported.

Conclusions:

• Appropriate prescribing of aminoglycosides, including amikacin sulfate, can lead to substantial cost savings.
• Educational interventions can positively influence drug utilization patterns.
• Ongoing monitoring by P & T Committees is vital for cost-effective medication management.