Oxygen therapy multicentric study—A nationwide audit to oxygen therapy procedures in Internal Medicine wards

Neves, João; Lobão, Maria João

doi:10.1016/j.rppnen.2012.01.003

Cited by 10 publications

(8 citation statements)

References 6 publications

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“…Audits conducted in the United Kingdom and many other countries [1,30,31,32,33] have shown consistently poor performance for oxygen use and prescription, which is synonymous with the findings from our study.…”

Section: Other Audit Comparisons and Recommendationssupporting

confidence: 84%

Acute oxygen therapy: a cross-sectional study of prescribing practices at an English hospital immediately before COVID-19 pandemic

Barrett

Catangui

Scott

2020

Expert Review of Respiratory Medicine

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Background: Approximately 14% of UK hospital in-patients receive supplemental oxygen therapy, only 57% have valid prescriptions. Oxygen must be optimally prescribed to ensure maximal therapeutic response whilst minimizing adverse outcomes (including fatality). This study investigates prescription compliance. Methods: All adults admitted to medical wards (18 February to 3 March 2020) were included. Analyses present proportions, descriptive statistics, and hypothesis testing. Ethical approval was unnecessary for this audit. Results: Of the 636 patients admitted, 66 (10%) were receiving oxygen therapy. Ages ranged from 34 to 100 years with 36 (54.5%) males and 30 (45.5%) females. The prescription was not documented in the oxygen section of the drug chart (n = 37, 56.1%, p = 0.389), nor did it have the physicians signature (n = 40, 60.6%, p = 0.110) nor date (n = 46, 69.7%, p = 0.002). Thirteen chronic obstructive pulmonary disease (COPD) patients (19.7%) were at risk of hypercapnic failure (p = 1.582x10 −6). Target oxygen saturation (SpO2) range had been documented for 30 (45.5%) patients. A target SpO2 range of 88-92% was documented for 9 patients (13.6%), a 94-98% range documented for 11 patients (16.7%). All patients had an invalid prescription. Conclusion: We present real-world practice in naturalistic settings, immediately before pandemiclockdown. Enhanced compliance is advocated to reduce risks of harm and mortality.

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Section: Other Audit Comparisons and Recommendationssupporting

confidence: 84%

Acute oxygen therapy: a cross-sectional study of prescribing practices at an English hospital immediately before COVID-19 pandemic

Barrett

Catangui

Scott

2020

Expert Review of Respiratory Medicine

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“…Oxygen should be regarded as a drug and oxygen therapy should be performed by the nurses upon the written order of the physician [19,25,26]. The nurse should check the implicit order of the physician [14,22,23] and perform oxygen therapy as per six correct principles [19].…”

Section: Discussionmentioning

confidence: 99%

Knowledge Levels of Nurses About Oxygen Therapy in Turkey

Demirel¹,

Kazan

2020

International Journal of Health Services Research and Policy

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Oxygen therapy, when duly performed, is very useful. On the other hand, when performed inappropriately, it has significant adverse effects in addition to its therapeutic characteristics. Therefore, nurses have to have enough knowledge of oxygen therapy. This descriptive study aims to determine the level of knowledge of nurses regarding oxygen therapy. The research sample consisted of 302 nurses who agreed to participate in the research, working in a state hospital in Ankara/Turkey. The data have been collected by a descriptive characteristic form and a knowledge test of 40 questions regarding oxygen therapy. In the study that the knowledge level score average of the nurses is  =22. 94±4.5 (min=8, max=35). The knowledge levels score averages of the nurses are lower than expected and nurses' knowledge is particularly inadequate in terms of oxygen therapy application methods. In this research, the nurses over the age of 45, working in the same department for more than 14 years and working in the operating room have lower scores (p0.05). In order to enhance the level of knowledge of nurses, it is recommended to provide more comprehensive oxygen therapy education at hospitals and the undergraduate level. It is thought that the results of the study shall contribute to determining the educational needs of nurses for oxygen therapy and be a guide for future researches.

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“…17,22 In a Portuguese study, the delivery device was not prescribed in 20.0% of the cases. 23 The majority (56.5%) of patients had a prescription for facemask oxygen, and very few (3.5%) patients had a prescription for a nasal cannula. Only one patient had a prescription for a high-flow nasal cannula.…”

Section: Discussionmentioning

confidence: 97%

Oxygen as a drug and scarce commodity: Do we use it rationally?

et al. 2022

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Results: One hundred and fifteen patients were included in the study, of whom 47.0% received oxygen without an oxygen prescription. Around 62.3% of the patients with prescriptions did not receive oxygen as prescribed. The prescriptions and oxygen administration for COVID-19 patients were better than for non-COVID-19 patients. A quarter of the patients possibly received oxygen therapy unnecessarily. Conclusion:Poor oxygen therapy practices were identified, including prescription errors, oxygen administration errors and oxygen wastage. A protocol should be developed and implemented for the prescription and administration of oxygen therapy. Training should occur to prevent oxygen wastage.Contribution: This study highlighted poor oxygen practices and prescriptions, as well as oxygen wastage in the absence of local oxygen therapy guidelines.

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Oxygen therapy multicentric study—A nationwide audit to oxygen therapy procedures in Internal Medicine wards

Cited by 10 publications

References 6 publications

Acute oxygen therapy: a cross-sectional study of prescribing practices at an English hospital immediately before COVID-19 pandemic

Acute oxygen therapy: a cross-sectional study of prescribing practices at an English hospital immediately before COVID-19 pandemic

Knowledge Levels of Nurses About Oxygen Therapy in Turkey

Oxygen as a drug and scarce commodity: Do we use it rationally?

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