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[Efficiency and cost-effectiveness for a safety device]
Ma Jesús Hernández Navarrete1, Carlos Lapresta Moros, Adriana del Villar Belzunce
1Servicio Medicina Preventiva, Hospital Universitario Migue Servet, Zaragoza. mjhernandezn@salud.aragon.es
Revista De Enfermeria (Barcelona, Spain)
|March 6, 2010
Summary
Implementing safe intravenous peripheral catheters in emergency wards eliminated catheter-related skin accidents. This intervention proved cost-effective, preventing accidents at a cost of 2,579.3 Euros per accident prevented.
Area of Science:
- Healthcare safety
- Medical device effectiveness
- Health economics
Context:
- Emergency ward services face risks of needlestick injuries and skin accidents from intravenous devices.
- Evaluating the cost-effectiveness of new medical technologies is crucial for resource allocation.
- Worker participation in material selection can improve adoption and safety outcomes.
Purpose:
- To assess the effectiveness and cost-effectiveness of implementing safe intravenous peripheral catheters in an emergency ward.
- To compare the incidence of skin accidents before and after the introduction of the safe catheter.
- To calculate the economic impact using a cost-effectiveness index.
Summary:
- A before-after study evaluated safe intravenous peripheral catheters in an emergency ward, with staff selecting the device via Likert questionnaire.
- Skin accidents decreased from 17 in the pre-intervention period to zero in the post-intervention period over 40 months.
- The cost-effectiveness index was calculated as Euros spent per accident prevented, totaling 2,579.3 Euros.
Impact:
- The study demonstrates a significant reduction in catheter-related skin accidents, enhancing patient and healthcare worker safety.
- The safe intravenous peripheral catheter proved to be a cost-effective intervention, justifying its implementation.
- Worker involvement in the selection process positively influenced the adoption and success of the safety measure.
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