Omissions and errors during oxygen therapy of hospitalized patients in a large city of Greece

Brokalaki, Hero; Matziou, Vasiliki; Zyga, Sophia; Kapella, M.; Τσάρας, Κωνσταντίνος; Brokalaki, Eirene; Myrianthefs, Pavlos

doi:10.1016/j.iccn.2004.07.003

Cited by 23 publications

(25 citation statements)

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“…Oxygen therapy lacks clear protocols, and the patterns that guide oxygen prescription administration differ from those guiding other medications. 5 The findings of Belda et al could assist in standardising oxygen therapy to the greater benefit of our patients.…”

Section: Resultsmentioning

confidence: 90%

Supplemental perioperative oxygen at 80% FIO₂reduced surgical site infections in elective colorectal surgery

Schmidt

2006

Evid Based Nurs

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Section: Resultsmentioning

confidence: 90%

Supplemental perioperative oxygen at 80% FIO₂reduced surgical site infections in elective colorectal surgery

Schmidt

2006

Evid Based Nurs

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“…Oxygen therapy-related practice variability and perceived concerns related to oxygen administration have been shown in other studies (11)(12)(13). Such practice variability may be in part due to contextual differences in clinical settings and this may have implications for guideline implementation.…”

mentioning

confidence: 70%

Intensive Care Clinicians’ Attitudes and Self-Reported Practice of Conservative Oxygen Therapy

et al. 2015

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Background: Conservative oxygen therapy (COT) targets a SpO2 of 90 -92% using the lowest possible FiO2 for mechanically ventilated (MV) adult patients. Conservative oxygen therapy aims to maintain adequate oxygenation while avoiding the harmful effects of hyperoxaemia. However, a lower SpO2 target during MV is recognised as challenging in current clinical norms. Objectives: We sought to describe intensive care clinicians' opinion and self-reported practice of conservative oxygen therapy. Methods: The research tool was a multi-choice questionnaire of intensive care clinicians working at 10 affiliated metropolitan tertiary hospitals from January-April, 2014. Results: Four hundred and twelve (84%) staff members responded to the survey. Of these, 91% (375) were intensive care nurses and 9% (37) were medical doctors. A majority of respondents (86%, 356/412) considered oxygen-related lung injury as "Yes, a major concern". Most respondents, 85% (351/412), felt COT was easy to perform and a few respondents, 6% (23/412), considered performing COT to be stressful. More than 90% of the respondents reported not performing more arterial blood gases to monitor PaO2 during COT and essentially all (98%) indicated a desire to perform COT. Free text comments indicated COT as a challenge to current practice and expressed a strong desire to avoid inadvertent hypoxaemia. Conclusions: Intensive care clinicians varied in their opinion and self-reported practice of conservative oxygen therapy and were genuinely concerned about unintended physiological consequences related to targeting low SpO2 values. We recommend conservative oxygen therapy to be implemented cautiously in conjunction with further evaluation of its impact on outcomes for patients and the perceptions of clinicians.

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“…It is however well-known that oxygen is poorly prescribed (Brokalaki et al, 2004). Fitzgerald et al's (1988) audit on oxygen therapy identified that less than 20% of patients receiving oxygen had an oxygen prescription, and in only 6% was the prescription adequate.…”

Section: Hypoxiamentioning

confidence: 99%

Improving the safety of oxygen therapy in the treatment of acute myocardial infarctions

Metcalfe

2012

International Emergency Nursing

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Omissions and errors during oxygen therapy of hospitalized patients in a large city of Greece

Cited by 23 publications

References 13 publications

Supplemental perioperative oxygen at 80% FIO₂reduced surgical site infections in elective colorectal surgery

Supplemental perioperative oxygen at 80% FIO₂reduced surgical site infections in elective colorectal surgery

Intensive Care Clinicians’ Attitudes and Self-Reported Practice of Conservative Oxygen Therapy

Improving the safety of oxygen therapy in the treatment of acute myocardial infarctions

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Omissions and errors during oxygen therapy of hospitalized patients in a large city of Greece

Cited by 23 publications

References 13 publications

Supplemental perioperative oxygen at 80% FIO2reduced surgical site infections in elective colorectal surgery

Supplemental perioperative oxygen at 80% FIO2reduced surgical site infections in elective colorectal surgery

Intensive Care Clinicians’ Attitudes and Self-Reported Practice of Conservative Oxygen Therapy

Improving the safety of oxygen therapy in the treatment of acute myocardial infarctions

Contact Info

Product

Resources

About

Supplemental perioperative oxygen at 80% FIO₂reduced surgical site infections in elective colorectal surgery

Supplemental perioperative oxygen at 80% FIO₂reduced surgical site infections in elective colorectal surgery