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Using an anesthesia information management system as a cost containment tool. Description and validation

D A Lubarsky1, I C Sanderson, W C Gilbert

  • 1Department of Anesthesiology, Duke University Medical Center, Durham, North Carolina 27710, USA.

Anesthesiology
|May 1, 1997
PubMed
Summary
This summary is machine-generated.

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Custom programming of anesthesia automated record keepers enables accurate cost calculations and successful pharmaceutical cost-containment programs. This data analysis is crucial for managing anesthetic practices and improving patient care.

Area of Science:

  • Medical informatics
  • Health informatics
  • Anesthesiology

Background:

  • Medical informatics offers new avenues for evaluating medical practices.
  • Anesthesia automated record keepers (ARKs) provide anesthesiologists with computerized medical records.
  • Custom programming is needed to extract valuable information from ARK databases.

Purpose of the Study:

  • To custom-program an ARK database for cost calculations.
  • To validate the programming for accuracy.
  • To implement a pharmaceutical cost-containment program using the derived data.

Main Methods:

  • The Arkive (San Diego, CA) ARK database was programmed at Duke University Medical Center.
  • Programming calculated costs per standard formulae and adherence to prescribing guidelines.

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  • Validation involved comparing database costs with actual pharmacy drug distribution over one month.

    • Main Results:

    • The custom programming achieved a 99% accuracy rate for total drug costs.
    • The study focused on key anesthetic drugs representing 67% of total drug expenses.
    • The programming facilitated a successful pharmaceutical cost-containment program.

    Conclusions:

    • Programming anesthesia ARKs provides essential data for practice management.
    • Accurate economic evaluation of anesthetic drug utilization is now feasible.
    • Future research requires large-scale studies using computerized perioperative records for optimal practice identification.