ABSTRACT
When dealing with preventive measures, it is necessary to evaluate their effectiveness and to analyze the costs involved in implementing those measures. Therefore, the authors carried out a before-after intervention study on the use of a safe intravenous peripheral catheter in emergency ward services; this study included the participation by workers in selecting material by means of a Likert questionnaire. The effectiveness of a safe intravenous peripheral catheter was calculated comparing skin accidents caused by this device 40 months before and after its implantation. An economic analysis was calculated by means of a cost-effectiveness index fined as a "Euros spent for accident prevented" index. Workers who participated chose a passive safe intravenous peripheral catheter (p < 0.05). During the pre-intervention period, 17 intravenous peripheral catheter expositions were declared, during the post-intervention period, none were declared. The total net cost per intervention came to 36.606 Euro. The cost effectiveness index was 2.579,3 Euro for accident prevented.
Subject(s)
Catheterization, Peripheral/economics , Catheterization, Peripheral/instrumentation , Occupational Exposure/economics , Occupational Exposure/prevention & control , Cost-Benefit Analysis , Equipment Design , Equipment Safety/economics , Equipment Safety/instrumentation , HumansABSTRACT
En actividades de prevención es necesario evaluar la efectividad y analizar el coste de su implantación. Por ello, se efectúa un estudio de intervención antes-después del uso de un catéter endovenoso periférico (CEVP) seguro, en un Servicio de Urgencias, con participación de trabajadores en la selección del material con una encuesta tipo Likert. La efectividad del CEVP seguro se midió comparando accidentes percutáneos por el dispositivo 40 meses antes y después de la introducción del mismo. El análisis económico se calculó mediante un índice coste-efectividad definido como «euros gastados por accidente evitado». Los trabajadores eligieron un CEVP de seguridad pasiva (p < 0,05). En periodo preintervención se declararon 17 exposiciones por CEVP, en periodo postintervención no se declaró ninguna. El coste total neto de la intervención supuso 36.606 . El índice coste-efectividad fue de 2.579,3 por accidente evitado(AU)
When dealing with preventive measures, it is necessary to evaluate their effectiveness and to analyze the costs involved in implementing those measures. Therefore, the authors carried out a before-after intervention study on the use of a safe intravenous peripheral catheter in emergency ward services; this study included the participation by workers in selecting material by means of a Likert questionnaire. The effectiveness of a safe intravenous peripheral catheter was calculated comparing skin accidents caused by this device 40 months before and after its implantation. An economic analysis was calculated by means of a cots-effectiveness index fined as a «Euros spent for accident prevented» index. Workers who participated chose a passive safe intravenous peripheral catheter (p < 0,05). During the pre-intervention period, 17 intravenous peripheral catheter expositions were declared; during the post-intervention period, none were declared. The total net cost per intervention came to 36.606. The cost effectiveness index was 2.579,3 for accident prevented(AU)
