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Published on: July 13, 2019
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Applying Lean Techniques to Reduce Intravenous Waste Through Premixed Solutions and Increasing Production Frequency
Summary
Implementing lean techniques by increasing premixed intravenous (IV) solutions and production frequency significantly reduced IV waste and associated costs in a hospital pharmacy. This optimization offers substantial annual savings.
Area of Science:
- Pharmacy Practice
- Healthcare Management
- Lean Manufacturing
Background:
- Intravenous (IV) medication waste is a significant concern in hospital pharmacies.
- Lean techniques offer potential solutions for waste reduction.
Purpose of the Study:
- To evaluate the impact of increasing premixed IV solutions and production frequency on IV waste.
- To quantify cost savings associated with reduced IV waste.
Main Methods:
- A three-phase study was conducted in a tertiary hospital pharmacy.
- Phase I: Baseline with 8 premixed IVs, 3 productions/day.
- Phase II: Increased to 16 premixed IVs.
- Phase III: Increased production to 5 times/day.
Main Results:
- Monthly IV doses wasted decreased from 2,673 (6.14%) in Phase I to 1,069 (2.84%) in Phase II, and 675 (1.69%) in Phase III.
- Associated monthly costs reduced from $60,135 to $34,003 and then to $3,431.
- Potential annual savings of $449,208 were identified.
Conclusions:
- Increased use of premixed IV solutions effectively reduces IV waste.
- Higher IV production frequency further contributes to minimizing waste.
- Lean strategies integrating premixed solutions and optimized production are cost-effective.
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