Improved oxygen prescribing using a nurse-facilitated reminder.
Poor oxygen prescribing and administration is well documented despite junior doctor education and oxygen prescription charts. This prescribing behaviour can be harmful to patients. This study examines whether oxygen prescribing and the appropriateness of oxygen therapy would be increased by medical...
| Publicado en: | British Journal of Nursing Vol. 18; no. 12; pp. 730 - 735 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Mark Allen Holdings Limited
6/25/2009
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105388537&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105388537 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09660461 GHD jtl: British Journal of Nursing issn: 09660461 maglogo: N pubinfo: dt: 6/25/2009 vid: 18 iid: 12 pid: 11383 pub: Mark Allen Holdings Limited artinfo: ui: 105388537 42314242 2010350190 10.12968/bjon.2009.18.12.42886 NLM19543159 105388537 ppf: 730 ppct: 5 formats: fmt: @attributes: type: P tig: atl: Improved oxygen prescribing using a nurse-facilitated reminder. aug: au: Medford A Bowen J Harvey J affil: Post-CCT Interventional Pulmonology Fellow, Department of Respiratory Medicine, Glenfield Hospital, Leicester sug: subj: Interns and Residents Medical Orders Nursing Role Oxygen Therapy Reminder Systems Audit Confidence Intervals Inpatients National Health Programs Odds Ratio Prescribing Patterns Respiratory Failure United Kingdom Human ab: Poor oxygen prescribing and administration is well documented despite junior doctor education and oxygen prescription charts. This prescribing behaviour can be harmful to patients. This study examines whether oxygen prescribing and the appropriateness of oxygen therapy would be increased by medical admissions unit (MAU) nurse education and a nurse-mediated reminder strategy to junior medical staff. A quality improvement study was carried out involving a prospective single centre audit, educational intervention to MAU nurses, and implementation of a nurse-facilitated oxygen prescribing reminder strategy with prospective re-audit. The study took place in a 26-bed MAU in a 678-bed teaching hospital with a lung centre serving a population of 540,000. Fifty-one patients were involved in the initial and re-audits and two nurses were involved in the audit team. A team of 10 acute medical nurses were involved in facilitating the appropriate administration and prescription of oxygen by liaison with junior medical staff. Oxygen prescription and appropriateness of oxygen therapy were measured. Results showed an improvement in oxygen prescribing from 0% to 49% (p < 0.0001). Nonsignificant improvements in appropriate oxygen prescription (pre- versus post-intervention) overall (70.6% versus 76.5%, p = 0.65); more marked reduction in type 1 respiratory failure errors (18.4% versus 3.8%, p = 0.13) and less marked reduction in type 2 respiratory failure errors (61.3% versus 44.0%, p = 0.49). In conclusion, significant and quick improvements in oxygen prescribing behaviour are achievable through a nurse-facilitated reminder strategy with reduction in inappropriate oxygen prescribing. These strategies are relevant to other ward settings and aspects of patient care. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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