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Cost-Effectiveness Analysis of Safety-Engineered Devices

Published online by Cambridge University Press:  26 May 2016

Haruhisa Fukuda  and
Kensuke Moriwaki
Haruhisa Fukuda*
Affiliation:
Department of Health Care Administration and Management, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
Kensuke Moriwaki
Affiliation:
Department of Medical Statistics, Kobe Pharmaceutical University, Higashinada-ku, Kobe-shi, Hyogo, Japan
*
Address correspondence to Haruhisa Fukuda, MPH, PhD, Department of Health Care Administration and Management, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi Higashi-ku Fukuoka 812-8582, Japan ([email protected]).
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Abstract

OBJECTIVE

To estimate the cost-effectiveness of safety-engineered devices (SEDs) relative to non-SEDs for winged steel needles, intravenous catheter stylets, suture needles, and insulin pen needles.

DESIGN

Decision analysis modeling.

PARTICIPANTS

Hypothetical cohort of healthcare workers who utilized needle devices.

METHODS

We developed a decision-analytic model to estimate and compare the life-cycle costs and benefits for SED and non-SED needle devices. For this cost-effectiveness analysis, we quantified the total direct medical cost per needlestick injury, number of needlestick injuries avoided, and incremental cost-effectiveness ratio. Sensitivity analyses were performed to examine the robustness of the base-case analysis.

RESULTS

In the base-case analysis, we calculated the incremental cost-effectiveness ratios of SED winged steel needles, intravenous catheter stylets, suture needles, and insulin pen needles to be $2,633, $13,943, $1,792, and $1,269 per needlestick injury avoided, respectively. Sensitivity analyses showed that the calculated incremental cost-effectiveness ratio values for using SEDs did not fall below zero even after adjusting the values of each parameter.

CONCLUSION

The use of SED needle devices would not produce cost savings for hospitals. Government intervention may be needed to systematically protect healthcare workers in Japan from the risk of bloodborne pathogen infections.

Infect Control Hosp Epidemiol 2016;37:1012–1021

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 37 , Issue 9 , September 2016 , pp. 1012 - 1021
Copyright
© 2016 by The Society for Healthcare Epidemiology of America. All rights reserved 

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