Cited by 103Healthcare cost, quality, practicesAnesthesia and Sedative AgentsHealthcare Operations and Scheduling Optimization

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Drug Use Inefficiency: A Hidden Source of Wasted Health Care Dollars

Gillerman, Richard G., Browning, Richard A.·2000·Anesthesia & Analgesia

DOI 10.1097/00000539-200010000-00028

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Abstract

UNLABELLED: A potential area for departmental savings is to minimize inefficient use of pharmaceuticals. We recorded drug waste data for multiple drugs for a fiscal year and surveyed providers' knowledge of departmental drug waste. Six large-cost or large-volume use drugs were chosen for study: thiopental, succinylcholine, rocuronium, atracurium, midazolam, and propofol. Amounts administered to patients were collected for one year by using a computerized anesthesia record keeper. Total drug distributed was the number of vials restocked by pharmacy for the year. An efficiency index, the percent administered to patients, was calculated for each drug. Drug administration to 25,481 patients was analyzed. Drug use efficiency indices were: atracurium 29%; thiopental, 31%; succinylcholine, 33%; propofol, 49%; midazolam, 53%; rocuronium, 61%. The total cost of unadministered study drugs was $165,667, 26% of the expenditure for all drugs. Most dollars wasted were for propofol, $80,863, and thiopental, $32,839. The reason most cited for drug waste was the disposal of full, or partially full, syringes. Drug wastage represents a significant portion of the entire anesthesia drug budget. Waste reduction strategies should allow a portion of the "avoidable" waste to be reduced. IMPLICATIONS: Unadministered drug amounts were measured for six study drugs over one fiscal year and found to be significant; the cost of unadministered drugs totaled $165,667. The reason most cited for waste was disposal of full, or partially full, syringes.

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Impact économique et faisabilité du référencement des seringues pré-remplies d’éphédrine et atropine en anesthésie au CHU de Grenoble
Esquenet, Q. (2015) · HAL
Effect of nitrous oxide inhalation on induction dose of propofol, induction time, oxygen saturation, and hemodynamic responses to laryngoscopy and intubation
Rajan, S., Pillai, S., & Lakshmi, K. (2016) · Ain-Shams Journal of Anaesthesiology · doi:10.4103/1687-7934.178887
Implementing a perpetual anesthesia setup standardized for the trauma room in a level I trauma center.
Faircloth, A. C., & Ford, M. B. (2013) · PubMed
Anesthesia Information Management Systems (AIMS)
Riskin, L., Halbeis, C. B. E., & Riskin, D. J. (2009) · IGI Global eBooks · doi:10.4018/978-1-60566-356-2.ch029
Cost Savings as a Result of Bortezomib Vial Sharing in Albania
Rustemi, F., Malaj, L., Hoti, E., & Balla, E. (2018) · European Scientific Journal ESJ · doi:10.19044/esj.2018.v14n21p278
Saving the Whales by Taking on TIVA
Kong, V. K. F. (2019) · Cambridge University Press eBooks · doi:10.1017/9781316659069.020
The Green Anesthesiologist: How Each of Us Can Make a Positive Environmental Impact in Our World
Hayanga, H. K., & Hubbard, R. C. (2020) · ASA Monitor · doi:10.1097/01.asm.0001079388.81637.b1
What a Waste: Perioperative Fentanyl Wastage at a Pediatric Hospital
Waberski, A. T., Cronin, J. A., Hammer, B. M., Braffett, B. H., & Heitmiller, E. S. (2022) · The Journal of Pediatric Pharmacology and Therapeutics · doi:10.5863/1551-6776-27.2.120
The Impact of Reducing Opioid Unit Dose Quantities on Perioperative Utilization and Pain Scores For Laparoscopic Cholecystectomies
Solla, C. A., Pehrson, A., Onar, G. S., Indranoi, T., Montgomery, M., & Buehler, J. M. (2022) · Pain Management · doi:10.2217/pmt-2021-0126
Die klimafreundliche NarCO2se
Bertsch, S. (2023) · Im OP · doi:10.1055/a-1993-8151
Nachhaltigkeit in Anästhesie und Intensivmedizin: mehr als ein Lippenbekenntnis
Kreutziger, J. (2023) · Anästhesie Nachrichten · doi:10.1007/s44179-023-00163-w
Comparison of Intraoperative Fentanyl Usage and Waste After Transition from 100-μg Vials to 50-μg Preloaded Syringes: A Single-Center Retrospective Study
Huang, H., Lai, E. A., Bhavsar, S., Miller, B., Chung, J., Phillips, B., Feng, L., Soliz, J., & Brown, J. (2024) · International journal of anesthesia and clinical medicine. · doi:10.11648/j.ijacm.20241202.18
Klimawandel und Nachhaltigkeit im Rettungsdienst
Neumayr, A. (2025) · Springer eBooks · doi:10.1007/978-3-662-70000-6_33
Evaluation of propofol wastage and environmentally sustainable propofol disposal system: a feasability study
Naeem, A., Tan, R. M., Sawang, M., Frain, A., Fagan, L., & Matthews, K. (2025) · Australian Critical Care · doi:10.1016/j.aucc.2025.101395
Etudes de stabilité de médicaments anticancéreux injectables : apports analytiques et pharmaceutiques
Respaud, R. (2011) · doi:10.70675/0c8fb95fz0a53z4ecbz97d4z84cccea3fec7

Authors: Gillerman, R. G., & Browning, R. A.
Affiliations: Rhode Island Hospital (US)
Corresponding author: Gillerman, Richard G.
Venue: Anesthesia & Analgesia
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2000-10
Volume: 91
Issue: 4
Pages: 921-924
ISSN: 0003-2999 (ISSN-L)
DOI: 10.1097/00000539-200010000-00028
OpenAlex: W2081055529
Cited by: 103
References: 7
Citations by year: 2026: 3 · 2025: 5 · 2024: 9 · 2023: 6 · 2022: 6 · 2021: 6 · 2020: 4 · 2019: 6 · 2018: 3 · 2017: 3 · 2016: 6 · 2015: 4 · 2014: 2 · 2013: 10 · 2012: 5
FWCI: 5.79
Type: journal article
Language: en
Open access: closed
Locations: Anesthesia & Analgesia (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Health Professions › General Health Professions › Healthcare cost, quality, practices
Health Sciences › Medicine › Anesthesiology and Pain Medicine › Anesthesia and Sedative Agents
Social Sciences › Decision Sciences › Management Science and Operations Research › Healthcare Operations and Scheduling Optimization
Keywords: pharmaceutical waste, anaesthetic drugs, propofol, thiopental, succinylcholine, rocuronium, atracurium, midazolam, syringe disposal, health care costs, efficiency index
MeSH terms: Rocuronium, Androstanols, Anesthesia Department, Hospital, Anesthetics, Atracurium, Budgets, Neuromuscular Nondepolarizing Agents, Drug Utilization, Efficiency, Hospital Records, Humans, Hypnotics and Sedatives, Medical Waste, Midazolam, Neuromuscular Depolarizing Agents, Pharmacy Service, Hospital, Succinylcholine, Syringes, Thiopental, Propofol, Medical Records Systems, Computerized, Drug Costs, Health Care Costs, Anesthetics, Intravenous

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Drug Use Inefficiency: A Hidden Source of Wasted Health Care Dollars

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