Purpose: The study aims at assessing the organizational and economic impact
related to the use of a new portable syringe pump (Pompa Infonde®, Italfarmaco S.p.A.,
Cinisello Balsamo, Italy) at a hospital level.
Methodology: Based on the HTA approach, the analysis assessed the organizational and economic impact of
the new device at hospital level, using the traditional methods of Iloprost infusion as comparator. After a pilot
evaluation, the organizational impact was assessed within 24 Italian hospitals. Structured interviews were
conducted with clinicians and nurses. According to the Hospital-Based HTA approach, a questionnaire
assessed the impact on human resources, training activities, internal meetings, spaces needed, facilities,
clinical practice implications. Using Activity Based Costing approach, the economic evaluation was
performed within the pilot center “Ospedale Civile” of Legnano, Italy.
Findings: The new device leads to a positive managerial impact, with a substantial reduction of time to
monitor patients by nurses. This resulted in a better management of human resources and in a reduction in
nursing cost. Although a mild negative impact on training time for personnel, the structured interviews
allowed the identification of three main areas of positive impact: (i) efficiency of internal processes, (ii)
clinical pathways, (iii) synergies between wards.
Originality: The organizational impact of Pompa Infonde®, showed that it is an efficient alternative to
traditional methods, with benefits in the management of patients administered with Iloprost.