Display options
Cite
Lehot JJ, Heuclin C, Neidecker J, et al. Optimisation des prescriptions en réanimation. [How can we optimize medical orderings in intensive care unit (ICU)?]. Ann Fr Anesth Reanim. 2010;29(10):682-6doi: 10.1016/j.annfar.2010.06.017.
Lehot, J. J., Heuclin, C., Neidecker, J., Cartier, R., Ffrench, P., Reverdy, M. E., Revel, D., Billard, M., Lupo, C., Gonnard, B., Keller, G., Aulagner, G., & Bastien, O. (2010). Optimisation des prescriptions en réanimation. [How can we optimize medical orderings in intensive care unit (ICU)?]. Annales francaises d'anesthesie et de reanimation, 29(10), 682-6. https://doi.org/10.1016/j.annfar.2010.06.017
Lehot, J-J, et al. "Optimisation des prescriptions en réanimation." [How can we optimize medical orderings in intensive care unit (ICU)?]. Annales francaises d'anesthesie et de reanimation vol. 29,10 (2010): 682-6. doi: https://doi.org/10.1016/j.annfar.2010.06.017
Lehot JJ, Heuclin C, Neidecker J, Cartier R, Ffrench P, Reverdy ME, Revel D, Billard M, Lupo C, Gonnard B, Keller G, Aulagner G, Bastien O. Optimisation des prescriptions en réanimation. [How can we optimize medical orderings in intensive care unit (ICU)?]. Ann Fr Anesth Reanim. 2010 Oct;29(10):682-6. doi: 10.1016/j.annfar.2010.06.017. Epub 2010 Aug 21. French. PMID: 20729030.
Copy Download .nbib Format: NLM
Share it on

Ann Fr Anesth Reanim. 2010 Oct;29(10):682-6. doi: 10.1016/j.annfar.2010.06.017. Epub 2010 Aug 21.

[How can we optimize medical orderings in intensive care unit (ICU)?].

Annales francaises d'anesthesie et de reanimation

[Article in French]
J-J Lehot, C Heuclin, J Neidecker, R Cartier, P Ffrench, M E Reverdy, D Revel, M Billard, C Lupo, B Gonnard, G Keller, G Aulagner, O Bastien

Affiliations

  1. Service d'anesthésie-réanimation, hôpital Louis-Pradel, groupement hospitalier Est, hospices civils de Lyon, 28 avenue du Doyen-Lépine, Bron, France. [email protected]

PMID: 20729030 DOI: 10.1016/j.annfar.2010.06.017

Abstract

OBJECTIVES: To evaluate whether intensivists would accept to optimize their orderings of biological samplings, x-rays and target drugs and to assess the consequence on patient's outcome.

STUDY DESIGN: Monocentric evaluation of medical economic procedure.

METHODS: Meetings of consultants, registrars and residents started on Dec 21, 2006 with two to three sessions a year in order to evaluate the process of medical ordering. The physicians and pharmacists gave the results of orderings at each meeting. Orderings of systematic samplings, bedside x-rays and unjustified expansive drugs were discouraged, but target samplings and lung ultrasonography were encouraged. New residents were systematically taught about this programme. Meanwhile, monthly morbidity-mortality meetings were pursued in order to assess the consequences of this politics.

RESULTS: While ICU total production increased by 3.4% and potentially evitable deaths decreased by 34%, annual expenses decreased by approximatively € 777,000 from 2006 to 2008. This was due to decreased orderings in biology by 30%, bedside x-rays by 10%, computed tomographic scans by 16% and target drugs by 35%. However, an increased ordering in four target drugs was observed in 2008 as compared with 2007.

CONCLUSION: Multidisciplinary optimization of medical ordering can be efficient in ICU. However, a profit-sharing with ordering physicians would be necessary to prolong these effects.

Copyright © 2010 Elsevier Masson SAS. All rights reserved.

MeSH terms

Publication Types