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  1. The effect of a drug and supply cost feedback system on the use of intraoperative resources by anesthesiologists.

    Article - En anglais

    We performed a randomized, prospective study to evaluate the use of a written feedback system in reducing the intraoperative costs of drugs and supplies used by anesthesiologists.

    Over 6 mo, 27 anesthesiology residents were randomized to feedback and control groups for their rotations in neurosurgical anesthesia.

    We recorded the cost of drugs and supplies for three procedures : carotid endarterectomy, lumbar decompression, and cervical decompression.

    For each study case, members of the feedback group received a written cost analysis showing their performance relative to the departmental average.

    Members of the feedback group had significantly lower costs for carotid endarterectomies ($79.98 ± $15.20 vs $97.59 ± $21.53) and for lumbar decompressions ($56.72 ± $16.49 vs 576.05 ± $20.11).

    The source of savings included lower use rates for propofol and etomidate and for patient warming devices.

    Analysis of data from recovery areas revealed a trend toward lower patient temperature in lumbar procedures performed by the feedback group.

    Three months after the feedback period, we collected a follow-up data set in the absence of feedback.

    This revealed a significant rebound in overall cost by the feedback group for both carotid endarterectomies and lumbar surgery.

    Implications : This is the first randomized, prospective evaluation of a cost management system in anesthesia. (...)

    Mots-clés Pascal : Anesthésique, Coût, Economie santé, Anesthésie, Etats Unis, Amérique du Nord, Amérique, Pratique professionnelle, Rétroaction

    Mots-clés Pascal anglais : Anesthetic, Costs, Health economy, Anesthesia, United States, North America, America, Professional practice, Feedback regulation

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0168455

    Code Inist : 002B02B08. Création : 21/07/1998.