COST-EFFECTIVENESS OF THE INTRAVENOUS MEDICATION MIXING CENTER IN A NEONATAL INTENSIVE CARE UNIT

Authors

DOI:

https://doi.org/10.5380/ce.v24i0.60877

Keywords:

Medication errors, Patient safety, Cost-effectiveness analysis, Neonatal intensive care units, Evaluation of biomedical technology.

Abstract

Objective: To analyze the cost-effectiveness of the intravenous medication mixing center in
reducing dose errors in the preparation of injectable medications in neonatal intensive care.
Method: mathematical model proposed in 2017 to assess cost-effectiveness by comparing two
health technologies in hypothetical scenarios using the TreeAge® 2011 Pro Suite Software. A
Monte Carlo simulation was used to analyze the robustness of the model.
Results: the model predicted that the intravenous medication mixing center was cost-effective,
with a mean effectiveness of 0.96 in avoiding dose errors in intravenous drug administration,
with an incremental cost-effectiveness ratio of R$26,785.61.
Conclusion: the use of an intravenous medication mixing center was the most cost-effective
alternative, considering the willingness to pay assumed in the model. The study may contribute
to reducing uncertainty in decision making regarding the incorporation of dose error reduction
technologies in medication administration in pediatric and neonatal ICUs.

Author Biographies

Lucília Feliciano Marques, Bürgerhospital – Frankfurt/Alemanha.

Enfermeira. Doutora em Enfermagem e Enfermeira da Unidade de Terapia Neonatal do Bürgerhospital – Frankfurt/Alemanha.

Cristiano Bertolossi Marta, Universidade do Estado do Rio de Janeiro - UERJ

Doutor em Enfermagem. Docente do Departamento de Enfermagem Fundamental da Universidade do Estado do Rio de Janeiro - UERJ. 

Roberto Carlos Lyra da Silva, Universidade Federal do Estado do Rio de Janeiro - UNIRIO

Enfermeiro. Doutor em Enfermagem. Docente do Departamento de Enfermagem Fundamental da Universidade federal do estado do Rio de janeiro – UNIRIO.

Antônio Augusto de Freitas Peregrino, Universidade do Estado do Rio de Janeiro - UERJ

Doutor em Saúde Coletiva. Sub coordenador do Laboratório de Ciências Radiológicas Universidade do Estado do Rio de Janeiro- IB/UERJ. 

Carlos Roberto Lyra da Silva, Universidade Federal do Estado do Rio de Janeiro

Professor Associado da Escola de Enfermagem Alfredo Pinto da Universidade Federal do Estado do Rio de Janeiro - UNIRIO. Pós-Doutor em Enfermagem pela Universidade de Pernambuco - UPE.

Vivian Schutz, Universidade Federal do Estado do Rio de Janeiro - UNIRIO

Doutora em Enfermagem. Docente do Departamento de Enfermagem Fundamental da Universidade federal do estado do Rio de janeiro – UNIRIO.

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Published

2019-09-12

How to Cite

Marques, L. F., Marta, C. B., Silva, R. C. L. da, Peregrino, A. A. de F., Silva, C. R. L. da, & Schutz, V. (2019). COST-EFFECTIVENESS OF THE INTRAVENOUS MEDICATION MIXING CENTER IN A NEONATAL INTENSIVE CARE UNIT. Cogitare Enfermagem, 24. https://doi.org/10.5380/ce.v24i0.60877

Issue

Vol. 24 (2019)

Section

ORIGINAL ARTICLE

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