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New & Used Auditory Function Screening

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Auditory Function Screening may also be referred to as :

Universal Newborn Hearing Screening System | Newborn Hearing Screening Device | Newborn Auditory Function Screening Device | Automated Hearing Screening Device | Auditory Function Screening Device, Newborn
 

Tips for buying Auditory Function Screening

  1. Facilities should mainly consider these three factors before making a purchase: configuration, referral rate, and whether the system is automated.
  2. Other considerations may include the following: patient load, relative costs of the different methods, type of acquisition, duration of contract, patient volume, service coverage, price increases during contract, and the availability of backup equipment and consumable parts.
  3. Facilities implementing a newborn hearing screening program should use either ABR testing or a combination of the OAE and ABR methods. ABR testing alone is effective for all applications.
  4. An alternative strategy, to minimize the cost of testing a large number of infants, may be to use OAE/ABR. The cost of disposables for OAE testing is less expensive, but the referral rate is significantly higher. This method may be beneficial for hospitals with a high birth rate. The initial screening with OAE followed by ABR for infants failing the initial screen may reduce costs while still providing a low false-referral rate.
  5. This approach has the shortcoming of additional time delay. While ABR can be performed earlier, OAE should be conducted at least six hours after birth, so if a second test is required, it must be conducted afterward.
  6. There may not be time to complete the process with infants leaving hospitals earlier. Failure to complete the protocol is a concern for facilities and for personnel who are responsible for ensuring follow-up.
  7. Immediately after a failed OAE test, it is recommended to perform the ABR test. ABR testing alone may be preferred in situations where infants may not complete an OAE/OAE or OAE/ABR protocol before discharge.
  8. Facility that is screening within the first six hours of birth should prefer ABR alone. This is also the preferred method in neonatal intensive care units because of its higher sensitivity to neurological hearing losses. OAE screening may give higher false referral rates associated with ear infections, which are common in the NICU and will eventually clear up.
  9. Facilities with only a well baby nursery, should base their decision on cost analysis using actual costs. In most cases, the difference in the cost of disposables will dominate the analysis.  Capital equipment costs and cost of personnel time should be considered because they may influence which choice is least expensive if the costs of disposables are similar.
  10. Facilities are encouraged to use automated newborn hearing screeners over manual units. Automated technology eliminates the need for a trained audiologist to perform the testing. Nurses or volunteers can perform it to save money on personnel costs.
  11. Buyers should select the type of technology based on the birth census for a facility, screening provider, training of screening personnel, end point being measured, and the availability of an audiologist.
  12. ABR may be more expensive and involve longer test times than OAE, depending on patient load. OAE, which can be less expensive and may have a shorter test time, is increasingly becoming the initial screening method, though it can often result in a higher referral rate due to debris in the ear canal. OAE/ABR combination screening devices are available.
  13. Some audiologists prefer either the ABR or OAE method exclusively and do not wish to use dual or combination testing devices, although they have been found to decrease false positives and referral rates, which can lower hospital costs.
Read more valuable tips on the Medical Equipment Buying Guide by MedWOW >>