麻醉药物浪费和预防策略:系统审查
Meseret Firde Habte1, Biresaw Ayen Tegegne2, Tikuneh Yetneberk Alemayehu1
1College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
PloS one
|July 17, 2024
概括
麻醉药物浪费是影响医院财务和效率的全球性问题. 实施预防策略可以显著减少这种浪费,改善患者护理和运营结果.
科学领域:
- 麻醉学 麻醉学
- 医疗保健管理的管理
- 药物经济学 药物经济学
背景情况:
- 麻醉药的需求和费用对医院构成重大财务压力,耗费高达15%的药房预算.
- 麻醉中药物浪费是广泛的,通常是隐藏的,医疗保健效率低下的原因,导致药物短缺和手术室效率下降.
- 在全球范围内,可预防的麻醉药物浪费是常规观察到的,在发展中国家尤其严重的后果影响医疗保健系统和患者.
研究的目的:
- 审查麻醉药物浪费的全球流行情况.
- 系统地制定和描述预防麻醉药物浪费的策略.
主要方法:
- 在主要数据库 (谷歌学者,PubMed,Cochrane图书馆,Embase) 进行系统的文献搜索.
- 基于PRISMA标准和纳入/排除标准进行研究选择.
- 使用乔安娜·布里格斯研究所 (JBI) 证据综合手册对选定的文章进行质量评估.
主要成果:
- 来自11个国家的16个符合条件的出版物被纳入了审查.
- 普罗波是最常被浪费的麻醉药物,对经济损失做出了重大贡献.
- 造成浪费的主要原因包括单一患者使用后的多种药物瓶的处置以及吸入麻醉剂的高新鲜气体流量.
结论:
- 麻醉药物废弃物是一个普遍存在的全球问题,具有重大的财务和运营影响.
- 大多数麻醉药物浪费是可以避免的.
- 实施预防措施对于减少浪费和提高患者和医院效率至关重要.
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