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

Author

Listed:
  • 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)

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

Suggested Citation

  • Virginie Chasseigne & Sophie Bouvet & Sihame Chkair & Marlène Buisson & Marie Richard & Renaud de Tayrac & Martin Marie Bertrand & Christel Castelli & Jean-Marie Kinowski & Géraldine Leguelinel-Blache, 2020. "Health economic evaluation of a clinical pharmacist's intervention on the appropriate use of devices and cost savings: A pilot study," Post-Print hal-03339863, HAL.
    • Handle: RePEc:hal:journl:hal-03339863
    DOI: 10.1016/j.ijsu.2020.08.021
    Note: View the original document on HAL open archive server: https://hal.umontpellier.fr/hal-03339863
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