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How we do it: shifting MR arthrogram compounding from the fluoroscopy suite to the sterile pharmacy
Chad C Adams1, Matthew J Loewen2, Ian A Breckenridge2
1Madigan Army Medical Center, 405 6th Ave Apt 403, Tacoma, WA, 98402, USA. chadadams1@gmail.com.
Shifting arthrogram injectate compounding to the sterile pharmacy reduced costs by 53% and eliminated examination delays and infections. This change also ensured compliance with USP797 guidelines.
Area of Science:
- Radiology
- Healthcare Administration
- Pharmaceutical Compounding
Background:
- Traditionally, arthrogram injectate was compounded in the fluoroscopy suite.
- This practice posed challenges related to cost, efficiency, and adherence to sterile compounding guidelines.
Purpose of the Study:
- To evaluate the impact of relocating arthrogram injectate compounding from the fluoroscopy suite to the main hospital sterile pharmacy.
- The study assessed changes in cost, examination delays, and infection rates.
Main Methods:
- A comparative analysis of 629 arthrograms pre-transfer and 699 post-transfer.
- Infection rates and examination delays were tracked.
- Cost per injection was analyzed, and injectate stability was tested.
Main Results:
- Zero examination delays and zero infections were reported post-transfer.
- A 53% reduction in material cost per arthrogram was achieved.
- Injectate retained over 90% potency 30 hours post-preparation.
Conclusions:
- Relocating arthrogram injectate compounding to the sterile pharmacy is cost-effective and safe.
- The shift resulted in no increase in delays or infections.
- This change aligns practice with USP797 sterile compounding standards.
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