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Impact of a Care Bundle on Cost Saving for Noninvasive Respiratory Support for Neonates. | LitMetric

Impact of a Care Bundle on Cost Saving for Noninvasive Respiratory Support for Neonates.

Adv Neonatal Care

Neonatal Unit, St George's Hospital NHS Foundation Trust, London, United Kingdom (Dr Shetty, Dr Evans, and Dr Kulkarni); St George's University of London, London, United Kingdom (Drs Shetty and Kulkarni); Women and Children's Health, School of Life Course Sciences, Faculty of Life Sciences and Medicine (Professor Greenough), and Asthma UK Centre for Allergic Mechanisms in Asthma (Dr Greenough), King's College London, United Kingdom; and NIHR Biomedical Research Centre based at Guy's and St Thomas NHS Foundation Trusts and King's College London, United Kingdom (Professor Greenough).

Published: February 2022

AI Article Synopsis

  • - A new care bundle was introduced at a neonatal center to guide medical and nursing staff on the effective use of CPAP and HHFNC, focusing on circuit usage times and associated costs
  • - The implementation of this educational package led to a significant cost saving of £17,000 ($22,254) in one year without compromising patient outcomes
  • - Future research is needed to establish stronger evidence for transitioning between respiratory support modes and to better understand the cost implications of these changes during patient care

Article Abstract

Background: Neonates often receive noninvasive respiratory support via continuous positive airway pressure (CPAP) or high-flow nasal cannula oxygen (HHFNC). The decision to change from one mode to the other, however, is not evidence based, hence not standardized and does not consider cost implications.

Purpose: To assess the introduction of a care bundle for the medical and nursing staff in a tertiary medical and surgical neonatal center with regard to any financial savings or adverse outcomes.

Methods: An education package and written guidelines were used to increase the awareness of the durations for which CPAP and HHFNC Vapotherm (VT) circuits could be used and the costs of the circuits.

Results: This resulted in a cost saving of £17,000 ($22,254) for the year without adverse outcomes.

Implications For Practice: Introduction of a care bundle involving an education package and written guidelines to increase the awareness of the durations that circuits could be used and the costs of CPAP and HHFNC circuits among the medical and nursing staff can lead to cost savings when incorporated into clinical practice.

Implications For Research: Strategies, particularly during weaning, which involve changing from one form of noninvasive respiratory support to another, need a greater evidence base. Future research should include awareness of the duration different circuits could be used and the cost implications of changes between modes and hence circuits.

Download full-text PDF

Source
http://dx.doi.org/10.1097/ANC.0000000000000856DOI Listing

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