An automated dispensing cabinet alert influences anesthesia provider medication preparation in a remifentanil waste reduction initiative.

ABSTRACT:

Study objective

To decrease the occurrence of remifentanil waste of 1 mg or more (1 full vial) by 25 % in our surgical division while maintaining satisfaction of 60 % of providers by using a remifentanil mixing workflow.

Design

A time series-design quality improvement initiative targeted preventable remifentanil waste. A period of active interventions, followed by a pause and reinstatement of a system intervention, was used to validate its effectiveness.

Setting

An academic medical center in the US with 1219 inpatient beds, performing 144,418 surgical cases in 2019 and 127,341 surgical cases in 2020, in 148 operating rooms.

Interventions

Individual- and system-level interventions provided education on the issues of preventable waste, access to a remifentanil do

SUBMITTER: Wooten LR 

PROVIDER: S-EPMC11588508 | biostudies-literature | 2024 Dec

REPOSITORIES: biostudies-literature