Health economic evaluation of a clinical pharmacist's intervention on the appropriate use of devices and cost savings: A pilot study

Virginie Chasseigne (), Sophie Bouvet, Sihame Chkair, Marlène Buisson, Marie Richard, Renaud de Tayrac (), Martin Marie Bertrand, Christel Castelli, Jean-Marie Kinowski and Géraldine Leguelinel-Blache ()
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Virginie Chasseigne: Pôle NACRRE - Département de Rééducation et Réadaptation Neuro Orthopédique [Nîmes] - CHU Nîmes - Hôpital Universitaire Carémeau [Nîmes] - CHU Nîmes - Centre Hospitalier Universitaire de Nîmes, AIDMP - Aide à la Décision pour une Médecine Personnalisé - Laboratoire de Biostatistique, Epidémiologie et Recherche Clinique - EA 2415 - UM1 - Université Montpellier 1 - UM - Université de Montpellier
Sophie Bouvet: AIDMP - Aide à la Décision pour une Médecine Personnalisé - Laboratoire de Biostatistique, Epidémiologie et Recherche Clinique - EA 2415 - UM1 - Université Montpellier 1 - UM - Université de Montpellier
Sihame Chkair: AIDMP - Aide à la Décision pour une Médecine Personnalisé - Laboratoire de Biostatistique, Epidémiologie et Recherche Clinique - EA 2415 - UM1 - Université Montpellier 1 - UM - Université de Montpellier
Marlène Buisson: CHU Nîmes - Centre Hospitalier Universitaire de Nîmes
Marie Richard: CHU Nîmes - Centre Hospitalier Universitaire de Nîmes
Renaud de Tayrac: CHU Nîmes - Centre Hospitalier Universitaire de Nîmes
Martin Marie Bertrand: CHU Nîmes - Centre Hospitalier Universitaire de Nîmes
Christel Castelli: AIDMP - Aide à la Décision pour une Médecine Personnalisé - Laboratoire de Biostatistique, Epidémiologie et Recherche Clinique - EA 2415 - UM1 - Université Montpellier 1 - UM - Université de Montpellier
Jean-Marie Kinowski: AIDMP - Aide à la Décision pour une Médecine Personnalisé - Laboratoire de Biostatistique, Epidémiologie et Recherche Clinique - EA 2415 - UM1 - Université Montpellier 1 - UM - Université de Montpellier, CHU Nîmes - Centre Hospitalier Universitaire de Nîmes
Géraldine Leguelinel-Blache: AIDMP - Aide à la Décision pour une Médecine Personnalisé - Laboratoire de Biostatistique, Epidémiologie et Recherche Clinique - EA 2415 - UM1 - Université Montpellier 1 - UM - Université de Montpellier, CHRU Montpellier - Centre Hospitalier Régional Universitaire [Montpellier], CHU Nîmes - Centre Hospitalier Universitaire de Nîmes

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Abstract: Background: Good management of disposable and reusable supplies may improve surgical efficiency in the operating room (OR) and also corresponds to the best eco-responsible approach. The purpose of this study was to assess the impact of a clinical pharmacist's intervention in the OR on the non-compliant use of medical devices. We also assessed the economic impact of the pharmaceutical intervention. Materials and methods: We conducted a monocentric prospective study in the OR of a University hospital over one year. Three surgical specialties: urologic, digestive and gynecologic were audited after a preparatory phase to optimize usage of medical devices used for surgeries. The supply costs concerning the three specialties were compared before and after the pharmacist intervention. Results: One hundred and fifty surgical procedures were audited in digestive (33.3%, n = 50), gynecologic (32%, n = 48) and urologic (34.7%, n = 52) surgeries. With the pharmacist in OR, 51 procedures (34% CI95%[26.4%; 41.6%]) with a non-compliance concerning at least one medical device were found compared to the 50% rate without the pharmacist reported previously (P

Keywords: Surgical device; Operating room; Cost savings; Clinical pharmacy; Appropriate use (search for similar items in EconPapers)
Date: 2020
Note: View the original document on HAL open archive server: https://hal.umontpellier.fr/hal-03339863v1
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Published in International Journal of Surgery, 2020, 82, pp.143-148. ⟨10.1016/j.ijsu.2020.08.021⟩

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Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:hal-03339863

DOI: 10.1016/j.ijsu.2020.08.021

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