Abstract

To identify the average direct cost of the procedures performed for phlebitis treatment in patients in an Inpatient Unit and estimate the costs of the procedures performed to treat phlebitis in this unit. A quantitative, exploratory-descriptive, single-case study. Initially, records of the procedures performed for phlebitis management were identified. Then, the cost was calculated by multiplying the execution time (timed using a chronometer) spent by nursing technicians by the unit cost of direct labor, added to the cost of materials in 2017. 107 phlebitis referring to 96 patients were reported. To treat the different grades of phlebitis, three procedures were carried out "application of ointment of chamomile flower extract"; "Compress application"; "Peripheral venous access installation". "Peripheral venous access installation with Íntima® catheter" corresponded to the most expensive procedure (US$ 8.90-SD=0.06). Considering the record of the execution of 656 (100%) procedures, the total average direct cost estimate corresponded to US$ 866.18/year. Knowledge about the costs of procedures can support decision making that increase allocation efficiency of consumed resources.

Highlights

  • The publication To err is human made a great impact in 1999, when it released the estimate that around 44,000 to 98,000 deaths occurred annually in the United States of America due to failures in health services[1]

  • adverse events (AE) are a major concern for health organizations as they result in damage to patients and, high morbidity and mortality[3]

  • The Brazilian National Patient Safety Program[3] (PNSP – Programa Nacional de Segurança do Paciente) was established in order to contribute to the quality of health care in all services nationwide

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Summary

Introduction

The publication To err is human made a great impact in 1999, when it released the estimate that around 44,000 to 98,000 deaths occurred annually in the United States of America due to failures in health services[1]. AE are a major concern for health organizations as they result in damage to patients and, high morbidity and mortality[3]. The Brazilian National Patient Safety Program[3] (PNSP – Programa Nacional de Segurança do Paciente) was established in order to contribute to the quality of health care in all services nationwide. It is estimated that approximately 15% of total hospital expenditure is due to AEs, many of which are preventable. The real financial impact and harm to patients is believed to be considerably greater[5]. In 2017, hospital health care AEs consumed between R$ (BRL – Brazilian Reais) 5.2 billion and R$ 15.6 billion of private health in Brazil[6]

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