Administration of Oral Acetaminophen to Reduce Costs for the Hysterectomy Patient at a Community Hospital.

Journal Article (Journal Article)


This quality improvement project aimed to change the practice of administration route of acetaminophen from intravenous (IV) to oral to patients having a hysterectomy at a community hospital, reduce costs, and maintain postanesthesia care unit pain scores for patients who receive oral acetaminophen comparable to those who receive IV acetaminophen.


There were 46 participants: 23 in the preintervention group and 23 in the postintervention group.


Data retrieved from the electronic medical record included the route of acetaminophen administered, cost, and pain scores.


Implementation of this quality improvement project resulted in no difference in the pain scores between the preintervention and postintervention groups (P = .637). In addition, the hospital cost for acetaminophen decreased 95.25% and patients saved $6,683 during the 3-month implementation period.


The administration of oral acetaminophen provided equivalent postoperative analgesia compared with IV acetaminophen and reduced costs for both the hospital and patients.

Full Text

Duke Authors

Cited Authors

  • Blonk, KM; Davenport, A; Morgan, B; Muckler, VC

Published Date

  • February 2019

Published In

Volume / Issue

  • 34 / 1

Start / End Page

  • 143 - 150

PubMed ID

  • 29935798

Electronic International Standard Serial Number (EISSN)

  • 1532-8473

International Standard Serial Number (ISSN)

  • 1089-9472

Digital Object Identifier (DOI)

  • 10.1016/j.jopan.2018.03.007


  • eng