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Propofol Waste Reduction in the Operating Room.
Elizabeth Chambers1, John Fitzhenry2, David Lincul3
1Jefferson Health-Northeast, Philadelphia, Pennsylvania.
AANA Journal
|November 22, 2022
Summary
Customized charts significantly reduced propofol waste in anesthesia procedures, cutting waste by up to 60%. This initiative offers substantial cost savings for healthcare systems and anesthesia departments.
Area of Science:
- Anesthesiology
- Pharmacology
- Healthcare Management
Background:
- Propofol is a widely used intravenous anesthetic agent for sedation and anesthesia.
- Unpredictability in determining propofol dosage for infusions leads to significant medication waste in operating rooms.
- This waste impacts departmental budgets and overall healthcare costs.
Purpose of the Study:
- To implement and evaluate the effectiveness of customized propofol preparation charts in reducing medication waste.
- To provide anesthesia professionals with a tool for more accurate propofol requirement estimation.
Main Methods:
- Development and implementation of customized propofol preparation charts based on patient weight, infusion rate, and procedure duration.
- Pre- and post-intervention data collection on propofol waste through voluntary anonymous surveys of anesthesia professionals.
- Simultaneous data measurement at a main hospital and a separate surgery center.
Main Results:
- Waste reduction of 49% at the main hospital and 60% at the surgery center compared to baseline data.
- The project, conducted over 4 months, demonstrated a potential yearly cost saving of over $15,000 for the healthcare system.
- Significant decrease in propofol waste attributed to the use of preparation charts.
Conclusions:
- Customized propofol preparation charts are effective in minimizing medication waste during anesthesia procedures.
- Implementation of these charts leads to considerable financial savings for healthcare organizations.
- Standardizing propofol preparation can improve efficiency and reduce costs in anesthesia departments.
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