Cost minimisation analysis of thermometry in two different hospital systems

Hayes, Kenneth; Shepard, Amanda; Cesarec, August; Likić, Robert

doi:10.1136/postgradmedj-2016-134630

Cited by 3 publications

(6 citation statements)

References 17 publications

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“…Oral thermometry is also contraindicated in unconscious and delirious patients 18,21 . In addition, because probe covers and frequent alcohol swabs are crucial for reducing cross-infection when using oral thermometers, these consumables can add to clinic costs and also add workload to already overwhelmed staff in outbreak-prone areas 4,15,21 . Tympanic infrared thermometers are noninvasive, inexpensive, quick and need no consumables.…”

Section: Non-invasive Thermometrymentioning

confidence: 99%

“…TAT has many clinical benefits including the fact that it poses minimal risk of infection, limited risk of injury (i.e. perforation/ discomfort), and it allows for an easily accessible BTM that meets with little patient resistance 1,15,24,25 . Further, many studies comparing the utility and accuracy of TAT in comparison to rectal and oral thermometry, showed that TAT can result in time-savings for clinicians who work with pediatric populations 12 , but that TAT also tends to underperform 1,3,23 .…”

Section: Introductionmentioning

confidence: 99%

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Are all Thermometers Equal? A Study of Three Infrared Thermometers to Detect Fever in an African Outpatient Clinic

Ravi

Vithyananthan

Saidu³

2021

Preprint

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Infrared thermometry has certain advantages over traditional oral thermometry including quick, non-invasive administration and an absence of required consumables. This study compared the performance of tympanic, temporal artery and forehead contactless thermometers with traditional oral electronic thermometer in measuring temperature in outpatients in a Nigerian secondary care hospital. A convenience sample of 100 male and 100 female adult patients (Mean age= 38.46 years, SD= 16.33 years) were recruited from a secondary care hospital in Kano, Nigeria. Temperature measurements were taken from each patient using the tympanic, temporal artery and contactless thermometers and oral electronic thermometer. Data was analyzed to assess bias and limits using scatterplots and Bland-Altman charts while sensitivity analysis was done using ROC curves. The tympanic and temporal artery thermometers systematically gave higher temperature readings compared to the oral electronic thermometer. Contactless thermometer gave lower readings compared to the oral electronic thermometer. Temporal artery thermometer had the highest sensitivity (88%) and specificity (88%) among the three infrared thermometers. Contactless thermometer showed a low sensitivity of 13% to detect fever greater than 38°C. Our study shows that replacing oral thermometers with infrared thermometers must be done with caution despite the associated convenience and cost savings.

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Section: Non-invasive Thermometrymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Are all Thermometers Equal? A Study of Three Infrared Thermometers to Detect Fever in an African Outpatient Clinic

Ravi

Vithyananthan

Saidu³

2021

Preprint

View full text Add to dashboard Cite

show abstract

“…Oral thermometry is also contraindicated in unconscious and delirious patients ( Lawson et al, 2007 ; Pappas, 2012 ). In addition, because probe covers and frequent alcohol swabs are essential for reducing cross-infection when using oral thermometers, these consumables can add to clinic costs and also add workload to already overwhelmed staff in outbreak-prone areas ( Pappas, 2012 ; Barringer et al, 2011 ; Hayes et al, 2017 ).…”

Section: Introductionmentioning

confidence: 99%

Are all thermometers equal? A study of three infrared thermometers to detect fever in an African outpatient clinic

Ravi

Vithyananthan

Saidu

2022

PeerJ

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Infrared thermometry has certain advantages over traditional oral thermometry including quick, non-invasive administration and an absence of required consumables. This study compared the performance of tympanic, temporal artery and forehead contactless thermometers with traditional oral electronic thermometer as the reference in measuring temperature in outpatients in a Nigerian secondary care hospital. A convenience sample of 100 male and 100 female adult patients (Mean age = 38.46 years, SD = 16.33 years) were recruited from a secondary care hospital in Kano, Nigeria. Temperature measurements were taken from each patient using the tympanic, temporal artery and contactless thermometers and oral electronic thermometer. Data was analyzed to assess bias and limits using scatterplots and Bland-Altman charts while sensitivity analysis was done using ROC curves. The tympanic and temporal artery thermometers systematically gave higher temperature readings compared to the oral electronic thermometer. The contactless thermometer gave lower readings compared to the oral electronic thermometer. The temporal artery thermometer had the highest sensitivity (88%) and specificity (88%) among the three infrared thermometers. The contactless thermometer showed a low sensitivity of 13% to detect fever greater than 38 °C. Our study shows that replacing oral thermometers with infrared thermometers must be done with caution despite the associated convenience and cost savings.

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“…Postgraduate Medical Journal contains an interesting and important publication on thermometry-related expenditure for hospital patients in two different parts of the world 1. As explained by the authors, the monitoring of body temperature is an essential feature of clinical practice in hospitals.…”

mentioning

confidence: 99%

“…The study by Hayes et al 1 actually entailed two CMAs, both from the perspective of the healthcare provider and stemmed from accepting that all the prevailing forms of thermometry have more or less equally acceptable accuracy, reliability and safety. This premise was backed up by sources cited by the authors and by others 4–7.…”

mentioning

confidence: 99%

Minimising the costs of temperature monitoring in hospitals

Kumana¹

2017

Postgraduate Medical Journal

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Postgraduate Medical Journal contains an interesting and important publication on thermometry-related expenditure for hospital patients in two different parts of the world.1 As explained by the authors, the monitoring of body temperature is an essential feature of clinical practice in hospitals. Moreover, since frequent body temperature determination for inpatients is so widespread and routine worldwide, it is high time that the efficiency of the methods used be objectively scrutinised.

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Cost minimisation analysis of thermometry in two different hospital systems

Cited by 3 publications

References 17 publications

Are all Thermometers Equal? A Study of Three Infrared Thermometers to Detect Fever in an African Outpatient Clinic

Are all Thermometers Equal? A Study of Three Infrared Thermometers to Detect Fever in an African Outpatient Clinic

Are all thermometers equal? A study of three infrared thermometers to detect fever in an African outpatient clinic

Minimising the costs of temperature monitoring in hospitals

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