Cost-effectiveness of infusion pumps to reduce errors in a Pediatric ICU.

Roberto Carlos Lyra Da Silva,Antônio Augusto De Freitas Peregrino,Cristiano Bertolossi Marta,Thiago Quinellatolouro,Carlos Roberto Lyra Da Silva,Alexander Itria

doi:10.1590/0034-7167-2018-0526

Abstract

To analyze cost-effectiveness and to calculate incremental cost-effectiveness ratio of the use of infusion pumps with drug library to reduce errors in intravenous drug administration in pediatric and neonatal patients in Intensive Care Units. Mathematical modeling for economic analysis of the decision tree type. The base case was composed of reference and alternative settings. The target population was neonates and pediatric patients hospitalized in Pediatric and Neonatal Intensive Care Units, comprising a cohort of 15,034 patients. The cost estimate was based on the bottom-up and top-down approaches. The decision tree, after RollBack, showed that the infusion pump with drug library may be the best strategy to avoid errors in intravenous drugs administration. The analysis revealed that the conventional pump, although it has the lowest cost, also has lower effectiveness.

Highlights

Drug administration is one of the most common interventions used in clinical practice
The decision tree, after RollBack, showed that the infusion pump with drug library may be the best strategy to avoid adverse drug events (ADE) during intravenous drugs administration
In the base case, to achieve a mean effectiveness of up to 0.86, which corresponds to avoiding dose-related ADE in 86% of intravenous drug infusions using drug library infusion pumps, at a cost that can vary from R$

Summary

Introduction

Drug administration is one of the most common interventions used in clinical practice. Nursing participates in the phases of preparation, administration and monitoring of patients and, for this reason, it is pointed out as the category that has the ability to intercept errors[2]. Injectable drugs administration is one of the most important and one of the most critical activities in a Pediatric Intensive Care Unit (PICU). This unit has clients in the age range of 29 days to 18 years of life, which is why the volume administered as well as the rate of infusion varies greatly according to the age and weight of patients

Methods

Results

Discussion

Conclusion