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Published VersionCC BY V4.0, Open Access
Journal article
Implementation of continuous temperature monitoring during perioperative care: a feasibility study
Patient Safety in Surgery, Vol.16(1), pp.1-9
2022
PMCID: PMC9509652
PMID: 36153550
Abstract
Background Continuous body temperature monitoring during perioperative care is enabled by using a non-invasive "zero-heat-flux" (ZHF) device. However, rigorous evaluation of whether continuous monitoring capability improves process of care and patient outcomes is lacking. This study assessed the feasibility of a large-scale trial on the impact of continuous ZHF monitoring on perioperative temperature management practices and hypothermia prevention. Methods A feasibility study was conducted at a tertiary hospital. Participants included patients undergoing elective surgery under neuraxial or general anesthesia, and perioperative nurses and anesthetists caring for patient participants. Eighty-two patients pre and post introduction of the ZHF device were enrolled. Feasibility outcomes included recruitment and retention, protocol adherence, missing data or device failure, and staff evaluation of intervention feasibility and acceptability. Process of care outcomes included temperature monitoring practices, warming interventions and perioperative hypothermia. Results There were no adverse events related to the device and feasibility of recruitment was high (60%). Treatment adherence varied across the perioperative pathway (43 to 93%) and missing data due to electronic transfer issues were identified. Provision of ZHF monitoring had most impact on monitoring practices in the Post Anesthetic Care Unit; the impact on intraoperative monitoring practices was minimal. Conclusions Enhancements to the design of the ZHF device, particularly for improved data retention and transfer, would be beneficial prior to a large-scale evaluation of whether continuous temperature monitoring will improve patient outcomes. Implementation research designs are needed for future work to improve the complex area of temperature monitoring during surgery.
Details
- Title
- Implementation of continuous temperature monitoring during perioperative care: a feasibility study
- Authors
- Judy Munday (Corresponding Author) - Queensland University of TechnologyDavid Sturgess (Author) - The University of QueenslandSabrina Oishi (Author) - Princess Alexandra HospitalJess Bendeich (Author) - Princess Alexandra HospitalAllison Kearney (Author) - Princess Alexandra HospitalClint Douglas (Author) - Queensland University of Technology
- Publication details
- Patient Safety in Surgery, Vol.16(1), pp.1-9
- Publisher
- BioMed Central Ltd.
- Date published
- 2022
- DOI
- 10.1186/s13037-022-00341-w
- ISSN
- 1754-9493
- PMID
- 36153550; PMC9509652
- Copyright note
- This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
- Grant note
- This study was funded by a Centre for Healthcare Transformation (CHT) Seed Grant (Queensland University of Technology).
- Organisation Unit
- School of Health - Nursing
- Language
- English
- Record Identifier
- 99991177902621
- Output Type
- Journal article
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