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Implementation and 8-year follow-up of an uninterrupted oxygen supply system in a hospital in The Gambia
SETTING: A 42-bed hospital operated by the Medical Research Council (MRC) Unit in The Gambia.OBJECTIVE: To devise, test and evaluate a cost-efficient uninterrupted oxygen system in the MRC Hospital.DESIGN: Oxygen cylinders were replaced with oxygen concentrators as the primary source of oxygen. An u...
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| Published in: | The international journal of tuberculosis and lung disease 2016-08, Vol.20 (8), p.1130-1134 |
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| Main Authors: | , , , , , , , , |
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| container_title | The international journal of tuberculosis and lung disease |
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| creator | Bradley, B. D. Light, J. D. Ebonyi, A. O. N'Jai, P. C. Ideh, R. C. Ebruke, B. E. Nyassi, E. Peel, D. Howie, S. R. C. |
| description | SETTING: A 42-bed hospital operated by the Medical Research Council (MRC) Unit in The Gambia.OBJECTIVE: To devise, test and evaluate a cost-efficient uninterrupted oxygen system in the MRC Hospital.DESIGN: Oxygen cylinders were replaced with oxygen concentrators as the primary
source of oxygen. An uninterruptable power supply (UPS) ensured continuity of power. Hospital staff were trained on the use of the new system. Eight years post-installation, an analysis of concentrator maintenance needs and costs was conducted and user feedback obtained to assess the success
of the system.RESULTS: The new system saved at least 51% of oxygen supply costs compared to cylinders, with savings likely to have been far greater due to cylinder leakages. Users indicated that the system is easier to use and more reliable, although technical support and staff training
are still needed.CONCLUSION: Oxygen concentrators offer long-term cost savings and an improved user experience compared to cylinders; however, some technical support and maintenance are needed to upkeep the system. A UPS dedicated to oxygen concentrators is an appropriate solution for
settings where power interruptions are frequent but short in duration. This approach can be a model for health systems in settings with similar infrastructure. |
| doi_str_mv | 10.5588/ijtld.15.0889 |
| format | article |
| fullrecord | <record><control><sourceid>pubtec_pubme</sourceid><recordid>TN_cdi_pubmed_primary_27393551</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><ingid>iuatld/ijtld/2016/00000020/00000008/art00003</ingid><sourcerecordid>iuatld/ijtld/2016/00000020/00000008/art00003</sourcerecordid><originalsourceid>FETCH-LOGICAL-c521t-cf6e5cda30698983d52119fb44cae683d2a179d156bddf8964feab84757ef2f83</originalsourceid><addsrcrecordid>eNp1kU1v1DAQhiMEoqVw5Ip85JLFH3HiXJBQoaVSJTiU88hJ7F2vHDvYTsvy6-tslgoO-OKZ8atnxvMWxVuCN5wL8cHskx02hG-wEO2z4pwIwsumpfh5jjFtStaQ9qx4FeMeY0oIaV4WZ7RhLeOcnBe7m3GyalQuyWS8Q9INSJQHJQPS3lr_UM4T8jrX0eyMSyqEeUpqQP7XYascivM02QOKh5jUiEwGoJ2Pk0nSLtndTqFrOXZGvi5eaGmjenO6L4ofV1_uLr-Wt9-uby4_3ZY9pySVva4V7wfJcN2KVrAhV0mru6rqpapzTiVp2oHwuhsGLdq60kp2omp4ozTVgl0UH1fuNHejGvr8syAtTMGMMhzASwP_vjizg62_h6plTcNpBrw_AYL_OauYYDSxV9ZKp_wcgYi81YpjRrK0XKV98DEGpZ_aEAyLO3B0BwiHxZ2sf_f3bE_qP3ZkwfdVYNx2sQT2fg4urwtMD2aWR1huv3gK9xQ7ATSbigXluQmuYFBazjZBkgG2vyGyjPz8P-TKW0ekmNSAj4fiU4AFyJCWgLFHURe_gA</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1802745031</pqid></control><display><type>article</type><title>Implementation and 8-year follow-up of an uninterrupted oxygen supply system in a hospital in The Gambia</title><source>PubMed (Medline)</source><creator>Bradley, B. D. ; Light, J. D. ; Ebonyi, A. O. ; N'Jai, P. C. ; Ideh, R. C. ; Ebruke, B. E. ; Nyassi, E. ; Peel, D. ; Howie, S. R. C.</creator><creatorcontrib>Bradley, B. D. ; Light, J. D. ; Ebonyi, A. O. ; N'Jai, P. C. ; Ideh, R. C. ; Ebruke, B. E. ; Nyassi, E. ; Peel, D. ; Howie, S. R. C.</creatorcontrib><description>SETTING: A 42-bed hospital operated by the Medical Research Council (MRC) Unit in The Gambia.OBJECTIVE: To devise, test and evaluate a cost-efficient uninterrupted oxygen system in the MRC Hospital.DESIGN: Oxygen cylinders were replaced with oxygen concentrators as the primary
source of oxygen. An uninterruptable power supply (UPS) ensured continuity of power. Hospital staff were trained on the use of the new system. Eight years post-installation, an analysis of concentrator maintenance needs and costs was conducted and user feedback obtained to assess the success
of the system.RESULTS: The new system saved at least 51% of oxygen supply costs compared to cylinders, with savings likely to have been far greater due to cylinder leakages. Users indicated that the system is easier to use and more reliable, although technical support and staff training
are still needed.CONCLUSION: Oxygen concentrators offer long-term cost savings and an improved user experience compared to cylinders; however, some technical support and maintenance are needed to upkeep the system. A UPS dedicated to oxygen concentrators is an appropriate solution for
settings where power interruptions are frequent but short in duration. This approach can be a model for health systems in settings with similar infrastructure.</description><identifier>ISSN: 1027-3719</identifier><identifier>EISSN: 1815-7920</identifier><identifier>DOI: 10.5588/ijtld.15.0889</identifier><identifier>PMID: 27393551</identifier><language>eng</language><publisher>France: International Union Against Tuberculosis and Lung Disease</publisher><subject>Administration, Inhalation ; Africa ; Cost Analysis ; Cost Savings ; Cost-Benefit Analysis ; Developing Countries - economics ; Equipment Design ; Follow-Up Studies ; Gambia ; Hospital Costs ; Humans ; Original ; Oxygen - administration & dosage ; Oxygen - economics ; Oxygen Concentrators ; Oxygen Cylinders ; Oxygen Inhalation Therapy - economics ; Oxygen Inhalation Therapy - instrumentation ; Oxygen Inhalation Therapy - methods ; Program Evaluation ; The Gambia ; Time Factors</subject><ispartof>The international journal of tuberculosis and lung disease, 2016-08, Vol.20 (8), p.1130-1134</ispartof><rights>2016 Bradley et al. 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c521t-cf6e5cda30698983d52119fb44cae683d2a179d156bddf8964feab84757ef2f83</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4937752/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4937752/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27393551$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bradley, B. D.</creatorcontrib><creatorcontrib>Light, J. D.</creatorcontrib><creatorcontrib>Ebonyi, A. O.</creatorcontrib><creatorcontrib>N'Jai, P. C.</creatorcontrib><creatorcontrib>Ideh, R. C.</creatorcontrib><creatorcontrib>Ebruke, B. E.</creatorcontrib><creatorcontrib>Nyassi, E.</creatorcontrib><creatorcontrib>Peel, D.</creatorcontrib><creatorcontrib>Howie, S. R. C.</creatorcontrib><title>Implementation and 8-year follow-up of an uninterrupted oxygen supply system in a hospital in The Gambia</title><title>The international journal of tuberculosis and lung disease</title><addtitle>Int J Tuberc Lung Dis</addtitle><description>SETTING: A 42-bed hospital operated by the Medical Research Council (MRC) Unit in The Gambia.OBJECTIVE: To devise, test and evaluate a cost-efficient uninterrupted oxygen system in the MRC Hospital.DESIGN: Oxygen cylinders were replaced with oxygen concentrators as the primary
source of oxygen. An uninterruptable power supply (UPS) ensured continuity of power. Hospital staff were trained on the use of the new system. Eight years post-installation, an analysis of concentrator maintenance needs and costs was conducted and user feedback obtained to assess the success
of the system.RESULTS: The new system saved at least 51% of oxygen supply costs compared to cylinders, with savings likely to have been far greater due to cylinder leakages. Users indicated that the system is easier to use and more reliable, although technical support and staff training
are still needed.CONCLUSION: Oxygen concentrators offer long-term cost savings and an improved user experience compared to cylinders; however, some technical support and maintenance are needed to upkeep the system. A UPS dedicated to oxygen concentrators is an appropriate solution for
settings where power interruptions are frequent but short in duration. This approach can be a model for health systems in settings with similar infrastructure.</description><subject>Administration, Inhalation</subject><subject>Africa</subject><subject>Cost Analysis</subject><subject>Cost Savings</subject><subject>Cost-Benefit Analysis</subject><subject>Developing Countries - economics</subject><subject>Equipment Design</subject><subject>Follow-Up Studies</subject><subject>Gambia</subject><subject>Hospital Costs</subject><subject>Humans</subject><subject>Original</subject><subject>Oxygen - administration & dosage</subject><subject>Oxygen - economics</subject><subject>Oxygen Concentrators</subject><subject>Oxygen Cylinders</subject><subject>Oxygen Inhalation Therapy - economics</subject><subject>Oxygen Inhalation Therapy - instrumentation</subject><subject>Oxygen Inhalation Therapy - methods</subject><subject>Program Evaluation</subject><subject>The Gambia</subject><subject>Time Factors</subject><issn>1027-3719</issn><issn>1815-7920</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><recordid>eNp1kU1v1DAQhiMEoqVw5Ip85JLFH3HiXJBQoaVSJTiU88hJ7F2vHDvYTsvy6-tslgoO-OKZ8atnxvMWxVuCN5wL8cHskx02hG-wEO2z4pwIwsumpfh5jjFtStaQ9qx4FeMeY0oIaV4WZ7RhLeOcnBe7m3GyalQuyWS8Q9INSJQHJQPS3lr_UM4T8jrX0eyMSyqEeUpqQP7XYascivM02QOKh5jUiEwGoJ2Pk0nSLtndTqFrOXZGvi5eaGmjenO6L4ofV1_uLr-Wt9-uby4_3ZY9pySVva4V7wfJcN2KVrAhV0mru6rqpapzTiVp2oHwuhsGLdq60kp2omp4ozTVgl0UH1fuNHejGvr8syAtTMGMMhzASwP_vjizg62_h6plTcNpBrw_AYL_OauYYDSxV9ZKp_wcgYi81YpjRrK0XKV98DEGpZ_aEAyLO3B0BwiHxZ2sf_f3bE_qP3ZkwfdVYNx2sQT2fg4urwtMD2aWR1huv3gK9xQ7ATSbigXluQmuYFBazjZBkgG2vyGyjPz8P-TKW0ekmNSAj4fiU4AFyJCWgLFHURe_gA</recordid><startdate>20160801</startdate><enddate>20160801</enddate><creator>Bradley, B. D.</creator><creator>Light, J. D.</creator><creator>Ebonyi, A. O.</creator><creator>N'Jai, P. C.</creator><creator>Ideh, R. C.</creator><creator>Ebruke, B. E.</creator><creator>Nyassi, E.</creator><creator>Peel, D.</creator><creator>Howie, S. R. C.</creator><general>International Union Against Tuberculosis and Lung Disease</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20160801</creationdate><title>Implementation and 8-year follow-up of an uninterrupted oxygen supply system in a hospital in The Gambia</title><author>Bradley, B. D. ; Light, J. D. ; Ebonyi, A. O. ; N'Jai, P. C. ; Ideh, R. C. ; Ebruke, B. E. ; Nyassi, E. ; Peel, D. ; Howie, S. R. 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D.</creatorcontrib><creatorcontrib>Light, J. D.</creatorcontrib><creatorcontrib>Ebonyi, A. O.</creatorcontrib><creatorcontrib>N'Jai, P. C.</creatorcontrib><creatorcontrib>Ideh, R. C.</creatorcontrib><creatorcontrib>Ebruke, B. E.</creatorcontrib><creatorcontrib>Nyassi, E.</creatorcontrib><creatorcontrib>Peel, D.</creatorcontrib><creatorcontrib>Howie, S. R. C.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The international journal of tuberculosis and lung disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bradley, B. D.</au><au>Light, J. D.</au><au>Ebonyi, A. O.</au><au>N'Jai, P. C.</au><au>Ideh, R. C.</au><au>Ebruke, B. E.</au><au>Nyassi, E.</au><au>Peel, D.</au><au>Howie, S. R. C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Implementation and 8-year follow-up of an uninterrupted oxygen supply system in a hospital in The Gambia</atitle><jtitle>The international journal of tuberculosis and lung disease</jtitle><addtitle>Int J Tuberc Lung Dis</addtitle><date>2016-08-01</date><risdate>2016</risdate><volume>20</volume><issue>8</issue><spage>1130</spage><epage>1134</epage><pages>1130-1134</pages><issn>1027-3719</issn><eissn>1815-7920</eissn><abstract>SETTING: A 42-bed hospital operated by the Medical Research Council (MRC) Unit in The Gambia.OBJECTIVE: To devise, test and evaluate a cost-efficient uninterrupted oxygen system in the MRC Hospital.DESIGN: Oxygen cylinders were replaced with oxygen concentrators as the primary
source of oxygen. An uninterruptable power supply (UPS) ensured continuity of power. Hospital staff were trained on the use of the new system. Eight years post-installation, an analysis of concentrator maintenance needs and costs was conducted and user feedback obtained to assess the success
of the system.RESULTS: The new system saved at least 51% of oxygen supply costs compared to cylinders, with savings likely to have been far greater due to cylinder leakages. Users indicated that the system is easier to use and more reliable, although technical support and staff training
are still needed.CONCLUSION: Oxygen concentrators offer long-term cost savings and an improved user experience compared to cylinders; however, some technical support and maintenance are needed to upkeep the system. A UPS dedicated to oxygen concentrators is an appropriate solution for
settings where power interruptions are frequent but short in duration. This approach can be a model for health systems in settings with similar infrastructure.</abstract><cop>France</cop><pub>International Union Against Tuberculosis and Lung Disease</pub><pmid>27393551</pmid><doi>10.5588/ijtld.15.0889</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1027-3719 |
| ispartof | The international journal of tuberculosis and lung disease, 2016-08, Vol.20 (8), p.1130-1134 |
| issn | 1027-3719 1815-7920 |
| language | eng |
| recordid | cdi_pubmed_primary_27393551 |
| source | PubMed (Medline) |
| subjects | Administration, Inhalation Africa Cost Analysis Cost Savings Cost-Benefit Analysis Developing Countries - economics Equipment Design Follow-Up Studies Gambia Hospital Costs Humans Original Oxygen - administration & dosage Oxygen - economics Oxygen Concentrators Oxygen Cylinders Oxygen Inhalation Therapy - economics Oxygen Inhalation Therapy - instrumentation Oxygen Inhalation Therapy - methods Program Evaluation The Gambia Time Factors |
| title | Implementation and 8-year follow-up of an uninterrupted oxygen supply system in a hospital in The Gambia |
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