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Related Concept Videos

Assessing Body Temperature - Temporal Artery01:19

Assessing Body Temperature - Temporal Artery

929
Here is a stepwise guide to assessing the body temperature at the temporal artery using a temporal artery thermometer
Step 1: Perform hand hygiene and don a fresh pair of gloves to prevent cross-infection and ensure patient safety.
Step 2: Explain the procedure to the patient to establish trust. Clear communication establishes trust with the patient, ensures they understand what to expect, promotes cooperation, and enhances comfort during the procedure.  
Step 3: Assess the patient's...
929
Assessing Body Temperature - Oral01:14

Assessing Body Temperature - Oral

1.2K
Here are the steps to accurately measure oral temperature using an electronic thermometer:
Step 1:
Start by practicing proper hand hygiene to prevent the spread of microorganisms.
Step 2:
Take the thermometer out of the charging unit, switch it on, and wait for the ready sign.
Step 3:
Gently slide the probe cover until a click is heard. This simple action prevents cross-contamination and ensures the correct placement of the probe cover.
Step 4:
Instruct the patient to open their mouth and place...
1.2K
Assessing Body Temperature - Axilla01:14

Assessing Body Temperature - Axilla

1.0K
Procedural Guide for Assessing Axillary Body Temperature using a Digital Thermometer:
Step 1: Perform hand hygiene and put on clean gloves to maintain infection control and prevent cross-contamination.
Step 2: Prepare the patient by explaining the procedure to ensure understanding and cooperation. Ensure privacy, expose the axilla, and inform the patient that minimal movement is crucial for an accurate reading.
Step 3: Adjust the patient’s clothing to expose only the axilla. It minimizes...
1.0K
Assessing Body Temperature - Rectal01:27

Assessing Body Temperature - Rectal

10.2K
Rectal temperature measurement is considered the most precise method for assessing core body temperature and typically registers higher than oral temperature. For adults, the rectal thermometer should be inserted 1 to 1.5 inches into the rectum to obtain the most accurate reading.
Follow these steps for rectal temperature assessment:
Step 1: Perform hand hygiene and don clean gloves to prevent cross-infection.
Step 2: Position the patient in a side-lying position to better visualize the rectal...
10.2K
Temperature Measurement Sites01:14

Temperature Measurement Sites

2.9K
A thermometer measures body temperature. The common sites for measuring body temperature are the oral cavity, axillary region, temporal artery, and skin surface, such as the forehead, abdomen, and axilla. True core body temperature is assessed in the rectum, tympanic membrane, pulmonary artery, esophagus, and urinary bladder.
Oral: When assessing oral temperature, the thermometer tip should be placed under the tongue in the posterior sublingual pocket. It offers accurate readings and can be...
2.9K
Assessing Body Temperature - Tympanic membrane01:14

Assessing Body Temperature - Tympanic membrane

1.0K
Assessing tympanic membrane temperature involves using a tympanic membrane thermometer (TMT). Here is a step-by-step guide:
Step 1: Begin by practicing good hand hygiene to prevent the transmission of microorganisms.
Step 2: Turn on the thermometer and wait until the ready sign appears on the screen to ensure accurate measurement.
Step 3: Slide the probe cover in place to prevent cross-contamination.
Step 4: Instruct the patient to tilt their head to the side for comfort and check for cerumen...
1.0K

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Related Experiment Video

Updated: Dec 24, 2025

Esophageal Heat Transfer for Patient Temperature Control and Targeted Temperature Management
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Intraoperative Electronic Alerts Improve Compliance With National Quality Program Measure for Perioperative

Sameer Lakha1, Matthew A Levin1,2, Andrew B Leibowitz1

  • 1From the Departments of Anesthesiology, Perioperative and Pain Medicine.

Anesthesia and Analgesia
|April 15, 2020
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Summary

An electronic decision-support tool significantly improved adherence to perioperative temperature management (Measure #424) for Centers for Medicare & Medicaid Services (CMS) reimbursement. This tool enhanced normothermia maintenance, boosting compliance rates and potential payment bonuses.

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Area of Science:

  • Anesthesiology
  • Health Informatics
  • Healthcare Quality Improvement

Background:

  • Reimbursement for anesthesia is shifting to value-based models tied to quality metrics.
  • Centers for Medicare & Medicaid Services (CMS) includes perioperative temperature management (Measure #424) in its value-based payment program.
  • Compliance with Measure #424 presents challenges in clinical practice, data collection, and reporting.

Purpose of the Study:

  • To investigate the impact of an electronic decision-support tool on adherence to CMS Measure #424.
  • To assess the tool's effectiveness in improving perioperative temperature management and normothermia maintenance.

Main Methods:

  • Retrospective observational study analyzing perioperative temperature data from cases eligible for Measure #424 reporting.
  • Implementation of an electronic decision-support tool prompting temperature measurement and normothermia maintenance.
  • Segmented time-series regression and multivariable logistic regression to assess compliance trends and influencing factors.

Main Results:

  • Introduction of the electronic alerts was associated with a significant increase in overall compliance from 84.4% to 92.4%.
  • Intraoperative compliance with temperature measurement increased substantially from 26.8% to 71.0%.
  • Multivariable analysis confirmed the association between the electronic alerts and improved overall compliance.

Conclusions:

  • An intraoperative electronic decision-support tool significantly improved normothermia maintenance and compliance with CMS Measure #424.
  • Electronic alerts can enhance practice performance and eligibility for payment bonuses under value-based care models.