title: A survey of anesthesiologist and anesthetist attitudes toward single-use vials in an academic medical center.
abstract: OBJECTIVE
  To evaluate whether proper implementation of safety measures was uniform at 5 hospitals, and to elucidate motivating factors that lead to nonadherence.
  
  
  METHODS
  Electronic anonymous survey instrument.
  
  
  METHODS
  Academic medical center.
  
  
  METHODS
  Of the 319 surveys sent to anesthesia providers across 5 hospitals, 89 responses were obtained. Questions addressed compliance with Centers of Disease Control (CDC) safety standards and the rationale for anesthesia providers' decisions to comply or not comply with these standards.
  
  
  RESULTS
  59.6% of respondents reported that they had reused vials between cases, while 40.4% had never done so. Of the 89 respondents, 63 (44%) felt that cost was the primary factor that prevented them from using entirely new medications on each case. Thirty-two (23%) reported convenience/efficiency as the reason; 11 (8%) responded that time prevented them from using entirely new medications on each case; 14 (10%) reported that the environment was a driving factor; and 3 individuals (2%) responded apathy. Eighteen (13%) responded "other" and, when asked to amplify a response, most of these individuals reported that they do use entirely new medications on each case.
  
  
  CONCLUSIONS
  Safe anesthetic practices were not uniform among respondents, and one of the main reasons given for noncompliance with safe standards was cost.
authors.affiliation: Department of Anesthesiology, Emory University, 49 Jesse Hill Jr. Drive, N.E., Atlanta, GA 30303, USA.
authors.forename: Anna
authors.initials: A
authors.lastname: Woodbury
authors.affiliation: Department of Anesthesiology, Emory University, 49 Jesse Hill Jr. Drive, N.E., Atlanta, GA 30303, USA.
authors.forename: Kevin
authors.initials: K
authors.lastname: Knight
authors.affiliation: Department of Anesthesiology, Emory University, 49 Jesse Hill Jr. Drive, N.E., Atlanta, GA 30303, USA.
authors.forename: Lyndsay
authors.initials: L
authors.lastname: Fry
authors.affiliation: Department of Anesthesiology, Emory University, 49 Jesse Hill Jr. Drive, N.E., Atlanta, GA 30303, USA.
authors.forename: Gary
authors.initials: G
authors.lastname: Margolias
authors.affiliation: Department of Anesthesiology, Emory University, 49 Jesse Hill Jr. Drive, N.E., Atlanta, GA 30303, USA. Electronic address: glynde@emory.edu.
authors.forename: Grant C
authors.initials: GC
authors.lastname: Lynde
mesh_terms: D000046:Academic Medical Centers; D000758:Anesthesia / Q000592:standards*; D000776:Anesthesiology / Q000191:economics / Q000592:standards; D001291:Attitude of Health Personnel; D004349:Drug Packaging / Q000592:standards; D006801:Humans; D015742:Propofol / Q000378:metabolism
chemical_list: D015742:Propofol
keywords: Cost; Efficiency; Infection control; Operating room; Single-use vial; Survey