The current health-care economic environment with increasing managed c
are and prospective payment systems presents nurse administrators with
the ongoing dilemma of providing optimal patient care while reducing
or holding down the costs of that care. Evaluation of systems and proc
esses used in the provision of care is key to containing expenditures.
This study evaluates the cost-effectiveness of two intravenous (IV) a
dditive systems, comparing the material, wastage, and labor costs and
analyzing the effects of each system on nursing productivity. Results
indicate that the higher material costs experienced with the implement
ation of the ADD-Vantage(R) additive system (Abbott Laboratories, Nort
h Chicago, IL) are completely offset by the reduced labor expense. The
introduction of a more efficient system also has a positive impact on
nursing productivity demonstrated by the staff's use of their saved t
ime in higher-level nursing functions. Copyright (C) 1994 by W. B. Sau
nders Company