Understanding the accuracy of body temperature measurements in patient triage during cancer treatment: a retrospective audit

Elevated temperature can be the first sign of infection and neutropenic sepsis in patients undergoing chemotherapy or radiotherapy. Most cancer patients are treated as outpatients and are educated to take their temperatures regularly during treatment. Patients who notice a fever or other concerning...

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Main Authors: Merriman, C, Voller, H, Machin, G, Wiltshire, R, Stevens, R, Fleming, S
Format: Journal article
Language:English
Published: RCN Publishing 2024
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author Merriman, C
Voller, H
Machin, G
Wiltshire, R
Stevens, R
Fleming, S
author_facet Merriman, C
Voller, H
Machin, G
Wiltshire, R
Stevens, R
Fleming, S
author_sort Merriman, C
collection OXFORD
description Elevated temperature can be the first sign of infection and neutropenic sepsis in patients undergoing chemotherapy or radiotherapy. Most cancer patients are treated as outpatients and are educated to take their temperatures regularly during treatment. Patients who notice a fever or other concerning symptoms at home are advised to contact the hospital triage unit, who use home-measured temperature, along with other clinical information, to decide whether to admit the patient for assessment and treatment. Following concerns from triage nurses at a regional cancer centre that home-measured temperatures were not being accurately reported, the authors carried out a retrospective audit to quantify differences between reported body temperature at home and on arrival at the triage unit. They found that although temperature measurement is correctly used to identify patients needing further assessment, it is often missing when patients call the triage line and/or measured inaccurately. Improvements in temperature measurement, particularly in the home environment, would be likely to optimise patient care in this vulnerable cohort.
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spelling oxford-uuid:1c75e7e8-7e81-4060-8038-3ee7e9d019ac2024-06-17T10:23:59ZUnderstanding the accuracy of body temperature measurements in patient triage during cancer treatment: a retrospective auditJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:1c75e7e8-7e81-4060-8038-3ee7e9d019acEnglishSymplectic ElementsRCN Publishing2024Merriman, CVoller, HMachin, GWiltshire, RStevens, RFleming, SElevated temperature can be the first sign of infection and neutropenic sepsis in patients undergoing chemotherapy or radiotherapy. Most cancer patients are treated as outpatients and are educated to take their temperatures regularly during treatment. Patients who notice a fever or other concerning symptoms at home are advised to contact the hospital triage unit, who use home-measured temperature, along with other clinical information, to decide whether to admit the patient for assessment and treatment. Following concerns from triage nurses at a regional cancer centre that home-measured temperatures were not being accurately reported, the authors carried out a retrospective audit to quantify differences between reported body temperature at home and on arrival at the triage unit. They found that although temperature measurement is correctly used to identify patients needing further assessment, it is often missing when patients call the triage line and/or measured inaccurately. Improvements in temperature measurement, particularly in the home environment, would be likely to optimise patient care in this vulnerable cohort.
spellingShingle Merriman, C
Voller, H
Machin, G
Wiltshire, R
Stevens, R
Fleming, S
Understanding the accuracy of body temperature measurements in patient triage during cancer treatment: a retrospective audit
title Understanding the accuracy of body temperature measurements in patient triage during cancer treatment: a retrospective audit
title_full Understanding the accuracy of body temperature measurements in patient triage during cancer treatment: a retrospective audit
title_fullStr Understanding the accuracy of body temperature measurements in patient triage during cancer treatment: a retrospective audit
title_full_unstemmed Understanding the accuracy of body temperature measurements in patient triage during cancer treatment: a retrospective audit
title_short Understanding the accuracy of body temperature measurements in patient triage during cancer treatment: a retrospective audit
title_sort understanding the accuracy of body temperature measurements in patient triage during cancer treatment a retrospective audit
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