Evidence map›Paper›PMID 37026053›Full record

ArticleSaudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society2023

Exploring the intravenous narcotics and controlled drugs wastage and their financial impact: A descriptive single-center study.

Azfar Athar Ishaqui, Abdullah Al Qahtani, Md Ashraful Islam, Ibrahim Al Dossary, Muhammad Bilal Maqsood, Abdulaziz Al Dulaijan, Fahad Al Jowesim, Abdulaziz Salem Shafi Alshammari, Dhfer Mahdi AlShayban, Muhammad Taher Alsultan and 4 more

Open access · hybridAbstract read
In one paragraph

Article in Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 8 institutions in 2 countries.

Azfar Athar IshaquiDepartment of Pharmacy, Iqra University, Karachi, Pakistan.
Abdullah Al QahtaniDepartment of Pharmacy, King Abdulaziz Hospital, Ministry of National Guard Health Affairs, AlAhsa, Saudi Arabia.
Md Ashraful IslamDepartment of Pharmacy Practice, College of Clinical Pharmacy, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
Ibrahim Al DossaryDepartment of Pharmacy, King Abdulaziz Hospital, Ministry of National Guard Health Affairs, AlAhsa, Saudi Arabia.
Muhammad Bilal MaqsoodEastern Health Cluster, Ministry of Health, Dammam, Saudi Arabia.
Abdulaziz Al DulaijanDepartment of Pharmacy, King Abdulaziz Hospital, Ministry of National Guard Health Affairs, AlAhsa, Saudi Arabia.
Fahad Al JowesimDepartment of Pharmacy, King Abdulaziz Hospital, Ministry of National Guard Health Affairs, AlAhsa, Saudi Arabia.
Abdulaziz Salem Shafi AlshammariDepartment of Pharmaceutical Care, Prince Sultan Cardiac Center, Ministry of Health, Hofuf, Saudi Arabia.
Dhfer Mahdi AlShaybanDepartment of Pharmacy Practice, College of Clinical Pharmacy, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
Muhammad Taher AlsultanDepartment of Pharmacy, King Abdulaziz Hospital, Ministry of National Guard Health Affairs, AlAhsa, Saudi Arabia.
Syed Azizullah GhoriDepartment of Pharmacy Practice, College of Clinical Pharmacy, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
Salah-Ud-Din KhanDepartment of Biochemistry, College of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh, Saudi Arabia.
Faisal YaminDepartment of Physical Therapy, Dow University of Health Sciences, Karachi, Pakistan.
Muhammad Shahid IqbalDepartment of Clinical Pharmacy, College of Pharmacy, Prince Sattam bin Abdulaziz University, Alkharj, Saudi Arabia.
Imam Abdulrahman Bin Faisal University · SANational Guard Health Affairs · SAKing Abdulaziz Hospital · SAMinistry of Health · SADow University of Health Sciences · PKImam Mohammad ibn Saud Islamic University · SAIqra University · PKPrince Sattam Bin Abdulaziz University · SA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: The objectives of this study were to explore the wastage of narcotics and controlled medications and, their financial impact in a tertiary care setting over a one-year period. Methodology: The study period was of one year, i.e., October 2020 - September 2021. The venue of study was a tertiary care hospital. The narcotic medications included Fentanyl, Tramadol, Morphine, and Meperidine. The controlled medications included Midazolam, Phenobarbital, Diazepam, Ketamine and Lorazepam. The annual consumption and wastage of the narcotic and controlled medications were documented using data report generated by narcotics and controlled medication in-charge pharmacist through the hospital's online system. Data was reported using average, minimum and maximum values. Quantities of wastage is expressed in terms of ampoules. Costs per ampoule were calculated and expressed in both Saudi Riyal (SAR) and United States Dollar (USD). The study was approved by an ethics committee. Results: The annual wastage of narcotics was 3.19 % while the same for controlled medications was 21.3 %. An annual wastage of 3.81 % was reported for narcotics and controlled medications combined. The total wastage cost of narcotics and controlled medications was 15,443.1 SAR that was equivalent to USD 4085.5. Fentanyl 500mcg formulations had the highest consumption, i.e., 28,580 ampoules followed by Morphine 10 mg formulations, i.e., 27,122 ampoules. The highest ampoule wastage was observed for Morphine 10 mg formulations, i.e., 1956 ampoules. The highest % wastage was observed for Midazolam formulations, i.e., 29.3 %. Conclusion: The overall wastage was less than 5% of the total consumption, however, midazolam was observed to have the highest wastage. Shifting to prefilled syringes supplied by pharmacies, making protocols, and safely pooling costly drugs could result in significant savings.

Indexed as

Controlled MedicationsDiazepamFentanylMidazolamMorphineNarcoticsTramadol

Identifiers

PMID37026053
PMCPMC10071365
OpenAlexW4313478794

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.