Drug Wastage : Observational Study in the Operating Rooms of France
- Conditions
- Drug Use
- Interventions
- Other: Quantification of injectable drugs wastage
- 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
- Arm && Interventions
Group Intervention Description Injectable drugs Quantification of injectable drugs wastage Patient's data and data relating to prepared/administrated/discarded injectable drugs will be collected during 24 hours in the operating rooms by anesthesia department
- 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 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)
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.
Trial Locations
- Locations (83)
Centre Hospitalier de Charleville-Mézières
🇫🇷Charleville-Mézières, Ardennes, France
Hôpital La Timone (AP-HM)
🇫🇷Marseille, Bouches-du-Rhône, France
Centre Hospitalier Henri Mondor
🇫🇷Aurillac, Cantal, France
CHU de Dijon
🇫🇷Dijon, Côte d'Or, France
CHRU de Brest
🇫🇷Brest, Finistère, France
Centre hospitalier Sud Francilien
🇫🇷Corbeil-Essonnes, Essonne, France
Centre Hospitalier d'Arcachon
🇫🇷La Teste-de-Buch, Gironde, France
CHU de Bordeaux, Groupe Sud
🇫🇷Pessac, Gironde, France
CHU de Limoges
🇫🇷Limoges, Haute Vienne, France
Clinique des Cèdres
🇫🇷Cornebarrieu, Haute-Garonne, France
CHU de Toulouse - Hôpital Rangueil
🇫🇷Toulouse, Haute-Garonne, France
HIA Percy Clamart
🇫🇷Clamart, Hauts-de-Seine, France
Hôpital Marie Lannelongue
🇫🇷Le Plessis-Robinson, Hauts-de-Seine, France
CHU de Rennes - Pontchaillou
🇫🇷Rennes, Ille-et-Vilaine, France
CHU de Rennes - Hôpital Sud
🇫🇷Rennes, Ille-et-Vilaine, France
Centre Hospitalier de Dax
🇫🇷Dax, Landes, France
CHU d'Angers
🇫🇷Angers, Maine-et-Loire, France
Institut Godinot
🇫🇷Reims, Marne, France
CHU de Lille - Institut coeur poumon
🇫🇷Lille, Nord, France
CHU de Lille - Hôpital Huriez
🇫🇷Lille, Nord, France
CHU de Lille - Hôpital Jeanne de Flandre
🇫🇷Lille, Nord, France
Clinique de la Plaine Santé
🇫🇷Clermont-Ferrand, Puy-de-Dôme, France
CHU de Clermont-Ferrand
🇫🇷Clermont-Ferrand, Puy-de-Dôme, France
Hôpital Edouard Herriot
🇫🇷Lyon, Rhône, France
Centre Léon Bérard
🇫🇷Lyon, Rhône, France
Hôpital mère-enfant (HCL)
🇫🇷Bron, Rhône, France
Clinique de la Sauvegarde
🇫🇷Lyon, Rhône, France
CHU de Rouen
🇫🇷Rouen, Seine-Maritime, France
CHU d'Amiens
🇫🇷Amiens, Somme, France
Clinique Victor Pauchet
🇫🇷Amiens, Somme, France
Hôpital Nord Franche-Comté
🇫🇷Trévenans, Territoire De Belfort, France
Hôpital NOVO - Site de Beaumont-sur-Oise
🇫🇷Beaumont-sur-Oise, Val d'Oise, France
Hôpital Privé de la Chataigneraie
🇫🇷Beaumont, Val d'Oise, France
Hôpital NOVO - Site de Pontoise
🇫🇷Cergy-Pontoise, Val d'Oise, France
Centre Hospitalier Intercommunal de Villeneuve Saint Georges
🇫🇷Villeneuve-Saint-Georges, Val-de-Marne, France
Sainte-Anne Military Teaching Hospital
🇫🇷Toulon, Var, France
Centre Hospitalier Départemental de Vendée
🇫🇷La Roche-sur-Yon, Vendée, France
Hôpital Lariboisière (AP-HP)
🇫🇷Paris, France
Hôpital Saint Louis (AP-HP)
🇫🇷Paris, France
Hôpital Trousseau (AP-HP)
🇫🇷Paris, France
Hôpital La Pitié-Salpêtrière
🇫🇷Paris, France
Hôpital Européen Georges Pompidou
🇫🇷Paris, France
Hôpital Tenon (AP-HP)
🇫🇷Paris, France
Groupe Hospitalier Diaconesses Croix Saint Simon
🇫🇷Paris, France
Institut mutualiste Montsouris
🇫🇷Paris, France
Hôpital Paul Brousse (AP-HP)
🇫🇷Villejuif, France
CHU de Guadeloupe
🇬🇵Pointe-à-Pitre, Guadeloupe
Centre Hospitalier de Brive-la-Gaillarde
🇫🇷Brive-la-Gaillarde, Corrèze, France
Hôpital Nord (AP-HM)
🇫🇷Marseille, Bouches-du-Rhône, France
Institut de Cancérologie de Lorraine
🇫🇷Vandoeuvre les nancy, Meurthe-et-Moselle, France
CHU de Strasbourg - IHU
🇫🇷Strasbourg, Bas-Rhin, France
CHU de Grenoble
🇫🇷Grenoble, Isère, France
CHU de la Réunion
🇫🇷Saint Denis, La Réunion, France
CHU de Bordeaux - Groupe hospitalier Pellegrin
🇫🇷Bordeaux, Gironde, France
Centre Hospitalier Jacques Puel
🇫🇷Rodez, Aveyron, France
Groupe Hospitalier Littoral Atlantique
🇫🇷La Rochelle, Charente-Maritime, France
CHU de Nîmes
🇫🇷Nîmes, Gard, France
Centre Hospitalier de Cannes
🇫🇷Cannes, Alpes-Maritimes, France
CHU de Caen
🇫🇷Caen, Calvados, France
Centre Hospitalier de Valence
🇫🇷Valence, Drôme, France
Clinique la Croix du Sud
🇫🇷Quint-Fonsegrives, Haute-Garonne, France
Centre Hospitalier de Lens
🇫🇷Lens, Pas-de-Calais, France
Clinique Aguilera
🇫🇷Biarritz, Pyrénées-Atlantiques, France
Institut Gustave Roussy
🇫🇷Villejuif, Val-de-Marne, France
Hôpital Robert Schuman-Groupe UNEOS
🇫🇷Vantoux, Vaucluse, France
Centre Hospitalier de Mayotte
🇾🇹Mamoudzou, Mayotte
HIA Clermont Tonnerre
🇫🇷Brest, Finistère, France
CHU Jean Minjoz
🇫🇷Besançon, Doubs, France
Clinique mutualiste de Pessac
🇫🇷Pessac, Gironde, France
Clinique de l'Union
🇫🇷Saint-Jean, Haute-Garonne, France
Clinique mutualiste La Sagesse
🇫🇷Rennes, Ille-et-Vilaine, France
Clinique de l'Archette
🇫🇷Olivet, Loiret, France
Centre Oscar Lambret
🇫🇷Lille, Nord, France
Centre Hospitalier Intercommunal Toulon - La Seyne sur Mer
🇫🇷Toulon, Var, France
Centre Hospitalier de Cornouailles
🇫🇷Quimper, Finistère, France
Centre Hospitalier de l'Agglomération Montargoise
🇫🇷Amilly, Loiret, France
Groupe Hospitalier Bretagne Sud
🇫🇷Lorient, Morbihan, France
Hôpital privé Arras les Bonnettes
🇫🇷Arras, Pas-de-Calais, France
Centre Hospitalier Emile Roux
🇫🇷Le Puy-en-Velay, Haute-Loire, France
Centre Hospitalier de Pau
🇫🇷Pau, Pyrénées-Atlantiques, France
Centre Hospitalier Princesse Grace
🇲🇨Monaco, Monaco
CHU de Lille - Hôpital Roger Salengro
🇫🇷Lille, Nord, France
Centre Hospitalier Intercommunal Castres-Mazamet
🇫🇷Castres, Tarn, France