Cost, Time, and Error Assessment During Preparation of Parenteral Nutrition: Multichamber Bags Versus Hospital-Compounded Bags

JPEN. Journal of Parenteral and Enteral Nutrition
David BerlanaÁlvaro Muñoz

Abstract

Parenteral nutrition (PN) is associated with material and manpower costs and requires preparation time. The aim of this study was to evaluate the cost of PN using multichamber bags (MCBs) compared with hospital-compounded bags (COBs). The secondary aim of this study was to assess and compare preparation time and errors related to the production and preparation processes of PN bags. A prospective, observational, cost-accounting study was conducted in 10 Spanish hospital pharmacy services. The cost assessments included components, raw materials, and hospital staff. Only PN bags with equivalent volume and nutrition value were included in the analyses. Assessment of errors related to PN was performed simultaneously with the cost and time comparison analyses. Among the 597 PN bags (295 MCBs, 302 COBs) evaluated, 392 PN bags (295 MCBs, 97 COBs) had an equivalent volume and nutrition value. The mean (standard deviation) total cost of the MCB was $62.11 ($12.34) per bag compared with $67.54 ($8.50) per bag for COBs, resulting in a significant cost savings of $5.71. On average, the time required to prepare an MCB was 38 minutes shorter (P < .001). Significantly fewer total number (percent) of errors was observed in the preparation of MC...Continue Reading

References

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Citations

Feb 13, 2020·JPEN. Journal of Parenteral and Enteral Nutrition·Robert G MartindaleStanislaw Klek
Feb 13, 2020·JPEN. Journal of Parenteral and Enteral Nutrition·Joseph I BoullataRobert Martindale
Jun 12, 2020·European Journal of Clinical Nutrition·Valery GallagherRebecca Jayne White
Dec 22, 2021·Drug Safety : an International Journal of Medical Toxicology and Drug Experience·Priya MistryAndy Fox

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