An automated dispensing cabinet alert influences anesthesia provider medication preparation in a remifentanil waste reduction initiative
Main finding · Preventable remifentanil waste (% of cases using remifentanil)Result — go to the resultOdds ratio 0.71 95 % CI 0.60–0.84Authors' conclusion
The implementation of an ADC alert reduced preventable remifentanil waste among anesthesia providers.
Study context
- Population
- Anesthesia providers and cases using remifentanil at a US academic medical center (148 operating rooms)
- Comparison
- Remifentanil waste reduction interventions vs baseline
- Outcome
- Preventable remifentanil waste (disposal of infusion bags containing ≥1 mg or ≥1 full vial of unused medication)
Methodological detailstime series design, intervention pause and reinstatement
- Time series design
- Intervention pause and reinstatement
Main finding
As reported in the abstract
Preventable remifentanil waste (% of cases using remifentanil)
Odds ratio
0.71
95 % CI 0.60–0.84
P < 0.001
By group
Final data collection vs Baseline
OR 0.71 (95 % CI 0.60–0.84); P < 0.001
Further findings
Individual-level interventions (education, dose calculator, practice champions) without the alert
- Did not significantly affect waste while unpaired from the automated dispensing cabinet (ADC) alert
Original publication
An automated dispensing cabinet alert influences anesthesia provider medication preparation in a remifentanil waste reduction initiative. J Clin Anesth. Published 13 September 2024. doi:10.
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