Evaluation of the impact of a prescribing guideline on the use of intraoperative dexmedetomidine at a tertiary academic medical center
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UMass Chan Affiliations
Clinical Pharmacy Services, Commonwealth MedicineDocument Type
Journal ArticlePublication Date
2017-01-01Keywords
prescribing guidelinedexmedetomidine
operating room
Anesthesia and Analgesia
Health Services Administration
Pharmacy and Pharmaceutical Sciences
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Objective: To evaluate usage patterns of dexmedetomidine in the operating room after implementation of a prescribing guideline. Methods: We conducted a retrospective analysis to evaluate the impact of a prescribing guideline on usage patterns of dexmedetomidine in the operating room at a tertiary, academic medical center during one-month period pre- (July 2010) and post-guideline (July 2011 and July 2012) implementation. Results: A total of 267 patients received intraoperative dexmedetomidine during the study period. Dexmedetomidine use in surgical procedures decreased post-guideline implementation [5.7% (pre) vs. 1.9% and 3.3% (post)]. The most common guideline-based indication for intraoperative dexmedetomidine was for anesthesia during bariatric surgery (41% and 38% in 2011 and 2012, respectively). We estimated a cost-avoidance of $308,856 over the two-year period after guideline implementation. Conclusion: Our results suggest that implementation of a prescribing guideline for the use of dexmedetomidine in the operating room is feasible and associated with improved utilization patterns.Source
Saudi Pharm J. 2017 Jan;25(1):144-147. Epub 2016 Jan 14. Link to article on publisher's siteDOI
10.1016/j.jsps.2016.01.002Permanent Link to this Item
http://hdl.handle.net/20.500.14038/40283PubMed ID
28223876Related Resources
Link to Article in PubMedRights
© 2016 The Authors. Open Access funded by King Saud University.Distribution License
http://creativecommons.org/licenses/by-nc-nd/4.0/ae974a485f413a2113503eed53cd6c53
10.1016/j.jsps.2016.01.002
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Except where otherwise noted, this item's license is described as © 2016 The Authors. Open Access funded by King Saud University.