Drug Wastage : Observational Study in the Operating Rooms of France
- Conditions
- Drug Use
- Registration Number
- NCT05609864
- Lead Sponsor
- Centre Hospitalier Intercommunal de Toulon La Seyne sur Mer
- Brief Summary
Environmental awareness is leading medical field to question its responsibility and possibilities for action.
Drug residues can have a major environmental impact as per their bioaccumulation, toxicity and persistence characteristics, depending on where they are discarded. In France, drug residues should be disposed of by incineration, but in practice this is not systematic. Moreover, data on drug wastage in the operating rooms by anesthesia department are rare.
The GAME-OvBLOC observational study aim to evaluate drug wastage in the operating rooms by anesthesia department in France and to propose ways of improving health care practices.
- Detailed Description
Observational study with data collection over a 24-hour business day. Data collected refer to healthcare team's practices and patients.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 3763
- All patients who will need an anesthesia act in operating room during a 24 hours period
- Patient opposition to participate in the study or parents opposition if the patient is a child or patient family opposition if the patient is not capable of being informed
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Ratio of overall wastage in milliliter (mL) of prepared and discarded injectable drugs, to overall volume in milliliter (mL) of prepared injectable drugs 24 hours Wastage is defined as : any prepared and unused drug that remains in syringe
- Secondary Outcome Measures
Name Time Method Cost of overall injectable drugs wastage 24 hours Estimated cost of drug residues will be evaluated for each drug by the following formula :
volume of discarded injectable drugs x theoretical priceUse of alternative to injectable drugs 24 hours Alternatives : local anaesthesia and anaesthetic gases
Reason for discarding drug residues 24 hours The reason of waste full syringe will be noticed : 1/ prepared in advance and not used ; 2/ prescription change ; 3/ preparation error ; 4/ other reason
Describe drug wastage for each kind of surgery/anesthesia 24 hours Drug wastage according to type of surgery and anaesthesia
Drug residues discarding process 24 hours Questionnaire on nursing practices on the choice of waste disposal circuits according to drugs
Describe waste and environmental impact of used plastic syringes 24 hours Number and volume of used syringes, use of pre-filled syringes, refilling of syringes and multi-patient use.
Environmental impact is indirectly assessed by type of plastic used and the transport distance from the production site to France.Describe drug wastage for each age group 24 hours Drug wastage according to the following age groups : adult (≥18 years old) and pediatrics (\< 1 year old, 1-5 years old, ≥ 6 years old)
Trial Locations
- Locations (83)
Centre Hospitalier de Cannes
🇫🇷Cannes, Alpes-Maritimes, France
Centre Hospitalier de Charleville-Mézières
🇫🇷Charleville-Mézières, Ardennes, France
Centre Hospitalier Jacques Puel
🇫🇷Rodez, Aveyron, France
CHU de Strasbourg - IHU
🇫🇷Strasbourg, Bas-Rhin, France
Hôpital La Timone (AP-HM)
🇫🇷Marseille, Bouches-du-Rhône, France
Hôpital Nord (AP-HM)
🇫🇷Marseille, Bouches-du-Rhône, France
CHU de Caen
🇫🇷Caen, Calvados, France
Centre Hospitalier Henri Mondor
🇫🇷Aurillac, Cantal, France
Groupe Hospitalier Littoral Atlantique
🇫🇷La Rochelle, Charente-Maritime, France
Centre Hospitalier de Brive-la-Gaillarde
🇫🇷Brive-la-Gaillarde, Corrèze, France
Scroll for more (73 remaining)Centre Hospitalier de Cannes🇫🇷Cannes, Alpes-Maritimes, France