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Microcosting method for small-volume injectables.

H T Hatoum, K W Witte, G T Biedron

    American Journal of Hospital Pharmacy
    |February 1, 1986
    PubMed
    Summary
    This summary is machine-generated.

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    Preparing small-volume injectables (SVIs) in a central pharmacy is more costly than anticipated. Microcosting reveals significant personnel time and waste factors impact SVI production expenses.

    Area of Science:

    • Pharmacy Practice
    • Health Economics
    • Hospital Administration

    Background:

    • Centralized admixture pharmacies play a crucial role in hospital medication preparation.
    • Accurate cost assessment of small-volume injectable (SVI) preparation is essential for financial management and efficiency.

    Purpose of the Study:

    • To calculate the precise costs associated with preparing various small-volume injectables (SVIs) in a centralized intravenous admixture pharmacy.
    • To identify cost drivers, including personnel time, materials, equipment, and waste, in SVI production.

    Main Methods:

    • A microcosting methodology was employed to determine the cost per SVI unit.
    • Time-and-motion and work-sampling studies quantified pharmacist and technician labor.
    • Material, equipment, and waste costs were calculated and incorporated into the final unit cost.

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    Main Results:

    • The average total personnel time to prepare one SVI was 5.57 minutes.
    • Technicians spent an average of 192.4 seconds and pharmacists 16.6 seconds per SVI for reconstitution and minibag preparation.
    • Bulk prepacked items were the least expensive, while admixtures from powdered vials were the most expensive.

    Conclusions:

    • Microcosting revealed significantly higher SVI preparation costs than initially expected.
    • These findings provide a basis for improving productivity, cost efficiency, and comparing in-house versus commercial SVI costs.