title: [Study of parenteral iron use in a health facility and its impact in terms of hospital economics].
abstract: BACKGROUND
  Administration of parenteral iron is a mainstay of iron deficiency treatment. Evaluation and control of this element is an issue for healthcare facilities. Study of parenteral iron use is thus to be evaluated in its impact in terms of hospital economics.
  
  
  METHODS
  Parenteral iron administrations that took place on 2014 in our healthcare facility were retrospectively identified by pharmacists. Following data were extracted from Pharma™ and Crossway™ softwares: indication, diagnostic coding and total dose of iron received. They were then compared to the summary of product characteristics.
  
  
  RESULTS
  Of 198 analyzed prescriptions, iron deficiency was known or suspected for 97% of patients. However, the total dose of iron administered was not in compliance for three quarters of prescriptions. Sixty-eight percent of patients appear under-dosed. Administration's traceability was found for two-thirds. Eighty-five hospital discharges did not have the right coding and 34 stays were charged like an external act instead sessions. Financial loss for the hospital is estimated at 49,300 euros.
  
  
  CONCLUSIONS
  As part of improving practice, close pharmaceutical monitoring of parenteral iron prescribed dosing regimen is essential. Effective communication with the medical information department and regular awareness raising of prescribers should also allow to give more value to this act. Hospital economics is a real tool to aid decision-making.
authors.affiliation: Service de pharmacie hospitalière, hôpital d'instruction des armées Desgenettes, 108, boulevard Pinel, 69003 Lyon, France. Electronic address: ma.vonesch@gmail.com.
authors.forename: M-A
authors.initials: MA
authors.lastname: Vonesch
authors.affiliation: Service de pharmacie hospitalière, hôpital d'instruction des armées Desgenettes, 108, boulevard Pinel, 69003 Lyon, France.
authors.forename: G
authors.initials: G
authors.lastname: Grangier
authors.affiliation: Département d'information médicale, hôpital d'instruction des armées Desgenettes, 108, boulevard Pinel, 69003 Lyon, France.
authors.forename: P
authors.initials: P
authors.lastname: Girard
authors.affiliation: Service de pharmacie hospitalière, hôpital d'instruction des armées Desgenettes, 108, boulevard Pinel, 69003 Lyon, France.
authors.forename: C
authors.initials: C
authors.lastname: Dussart
mesh_terms: D011307:Drug Prescriptions; D004469:Economics, Hospital; D006801:Humans; D007263:Infusions, Parenteral; D058085:Iron Compounds / Q000008:administration & dosage / Q000191:economics* / Q000627:therapeutic use*; D000090463:Iron Deficiencies; D010349:Patient Compliance; D010595:Pharmacists; D010607:Pharmacy Service, Hospital; D012189:Retrospective Studies
chemical_list: D058085:Iron Compounds
keywords: Complexe injectable de fer; Hospital; Hospital economics; Hôpital; Iron complex; Pharmaceutical monitoring; Suivi pharmaceutique; Use study; Économie hospitalière; Étude d’usage