The Direct Costs of Universal Precautions in a Teaching Hospital

Bradley Doebbeling, Richard P. Wenzel

Research output: Contribution to journalArticle

38 Citations (Scopus)

Abstract

An analysis of the increase in expenditures for barrier isolation materials before and after the institution of universal precautions at our 900-bed university hospital was used to generate a national estimate of the cost of implementation of the new Centers for Disease Control guidelines. Following the institution of universal precautions, use of rubber gloves at our hospital increased from 1.64 million pairs to 2.81 million pairs annually. A 5-year review of hospital purchasing and supply records in both inpatient and outpatient areas indicated that the total annual costs for isolation materials increased by $350 900. This represented an increase from $13.70 to $22.89 per admission (60%) after adjustment for inflation. The cost of isolation materials increased from $98 to $215 per 1000 outpatient visits, an adjusted increase of 92%. Two thirds of the increase (64%) was due to rubber gloves and an additional 25% was due to disposable isolation gowns. Universal precautions are estimated to have cost at least $336 million in the United States in fiscal year 1989 after adjustment for inflation. If expenditures for isolation materials at our medical center are representative, previous estimates may have significantly underestimated costs nationwide.

Original languageEnglish (US)
Pages (from-to)2083-2087
Number of pages5
JournalJAMA - Journal of the American Medical Association
Volume264
Issue number16
DOIs
StatePublished - Oct 24 1990
Externally publishedYes

Fingerprint

Universal Precautions
Teaching Hospitals
Costs and Cost Analysis
Rubber
Economic Inflation
Health Expenditures
Hospital Purchasings
Outpatients
Hospital Equipment and Supplies
Centers for Disease Control and Prevention (U.S.)
Inpatients
Guidelines

ASJC Scopus subject areas

  • Medicine(all)

Cite this

The Direct Costs of Universal Precautions in a Teaching Hospital. / Doebbeling, Bradley; Wenzel, Richard P.

In: JAMA - Journal of the American Medical Association, Vol. 264, No. 16, 24.10.1990, p. 2083-2087.

Research output: Contribution to journalArticle

@article{c39e5ae160f84f26aceee85a189ff378,
title = "The Direct Costs of Universal Precautions in a Teaching Hospital",
abstract = "An analysis of the increase in expenditures for barrier isolation materials before and after the institution of universal precautions at our 900-bed university hospital was used to generate a national estimate of the cost of implementation of the new Centers for Disease Control guidelines. Following the institution of universal precautions, use of rubber gloves at our hospital increased from 1.64 million pairs to 2.81 million pairs annually. A 5-year review of hospital purchasing and supply records in both inpatient and outpatient areas indicated that the total annual costs for isolation materials increased by $350 900. This represented an increase from $13.70 to $22.89 per admission (60{\%}) after adjustment for inflation. The cost of isolation materials increased from $98 to $215 per 1000 outpatient visits, an adjusted increase of 92{\%}. Two thirds of the increase (64{\%}) was due to rubber gloves and an additional 25{\%} was due to disposable isolation gowns. Universal precautions are estimated to have cost at least $336 million in the United States in fiscal year 1989 after adjustment for inflation. If expenditures for isolation materials at our medical center are representative, previous estimates may have significantly underestimated costs nationwide.",
author = "Bradley Doebbeling and Wenzel, {Richard P.}",
year = "1990",
month = "10",
day = "24",
doi = "10.1001/jama.1990.03450160053028",
language = "English (US)",
volume = "264",
pages = "2083--2087",
journal = "JAMA - Journal of the American Medical Association",
issn = "0002-9955",
publisher = "American Medical Association",
number = "16",

}

TY - JOUR

T1 - The Direct Costs of Universal Precautions in a Teaching Hospital

AU - Doebbeling, Bradley

AU - Wenzel, Richard P.

PY - 1990/10/24

Y1 - 1990/10/24

N2 - An analysis of the increase in expenditures for barrier isolation materials before and after the institution of universal precautions at our 900-bed university hospital was used to generate a national estimate of the cost of implementation of the new Centers for Disease Control guidelines. Following the institution of universal precautions, use of rubber gloves at our hospital increased from 1.64 million pairs to 2.81 million pairs annually. A 5-year review of hospital purchasing and supply records in both inpatient and outpatient areas indicated that the total annual costs for isolation materials increased by $350 900. This represented an increase from $13.70 to $22.89 per admission (60%) after adjustment for inflation. The cost of isolation materials increased from $98 to $215 per 1000 outpatient visits, an adjusted increase of 92%. Two thirds of the increase (64%) was due to rubber gloves and an additional 25% was due to disposable isolation gowns. Universal precautions are estimated to have cost at least $336 million in the United States in fiscal year 1989 after adjustment for inflation. If expenditures for isolation materials at our medical center are representative, previous estimates may have significantly underestimated costs nationwide.

AB - An analysis of the increase in expenditures for barrier isolation materials before and after the institution of universal precautions at our 900-bed university hospital was used to generate a national estimate of the cost of implementation of the new Centers for Disease Control guidelines. Following the institution of universal precautions, use of rubber gloves at our hospital increased from 1.64 million pairs to 2.81 million pairs annually. A 5-year review of hospital purchasing and supply records in both inpatient and outpatient areas indicated that the total annual costs for isolation materials increased by $350 900. This represented an increase from $13.70 to $22.89 per admission (60%) after adjustment for inflation. The cost of isolation materials increased from $98 to $215 per 1000 outpatient visits, an adjusted increase of 92%. Two thirds of the increase (64%) was due to rubber gloves and an additional 25% was due to disposable isolation gowns. Universal precautions are estimated to have cost at least $336 million in the United States in fiscal year 1989 after adjustment for inflation. If expenditures for isolation materials at our medical center are representative, previous estimates may have significantly underestimated costs nationwide.

UR - http://www.scopus.com/inward/record.url?scp=0025084090&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0025084090&partnerID=8YFLogxK

U2 - 10.1001/jama.1990.03450160053028

DO - 10.1001/jama.1990.03450160053028

M3 - Article

C2 - 2170699

AN - SCOPUS:0025084090

VL - 264

SP - 2083

EP - 2087

JO - JAMA - Journal of the American Medical Association

JF - JAMA - Journal of the American Medical Association

SN - 0002-9955

IS - 16

ER -