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Costing services: comparing three i.v. medication systems

K Baker, C B Evans, T Tiburzi

    Nursing Management
    |March 1, 1993
    PubMed
    Summary
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    Intermittent intravenous medication delivery systems were evaluated for cost-effectiveness. Syringe pump systems demonstrated significant cost savings for patients receiving antibiotics, with high nurse preference.

    Area of Science:

    • Healthcare Management
    • Nursing Practice
    • Pharmacoeconomics

    Background:

    • Intermittent intravenous (IV) medication delivery is common in general medicine.
    • Evaluating the cost-effectiveness and nurse preference of different IV delivery systems is crucial for optimizing patient care and resource allocation.

    Purpose of the Study:

    • To compare the cost-effectiveness of three intermittent IV medication delivery systems.
    • To assess the incidence of IV complications associated with each system.
    • To determine healthcare professional and patient preferences for the delivery systems.

    Main Methods:

    • A comparative study involving 85 patients receiving antibiotics over eight weeks.
    • Chi-square analysis and ANOVA were used to compare IV complication rates and system performance.

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  • Cost savings were calculated for each system, and preferences were surveyed among nurses, patients, and pharmacists.

    • Main Results:

    • No significant differences in IV complications were found among the three delivery systems.
    • Significant cost savings were observed: $99.70 per patient with the Bard system and $98.60 per patient with the BD system.
    • A strong preference (88%) for syringe pump systems was reported by nurses, with pharmacists also favoring syringe delivery.

    Conclusions:

    • Syringe pump systems offer a cost-effective alternative for intermittent IV antibiotic delivery.
    • Despite no significant difference in complications, syringe pumps are preferred by nursing staff, suggesting potential benefits in usability and efficiency.