The acute prescription of oxygen in orthopaedic trauma patients

Young, A.F.; Kostalas, Marcos

doi:10.12968/hmed.2013.74.10.586

Cited by 1 publication

(6 citation statements)

References 10 publications

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“…In the 6 years between 2009 and 2015, 12 papers which measured the accurate or appropriate prescription of oxygen therapy have been reported. 34 , 36 – 40 , 45 , 48 , 52 , 59 – 61 Some of these papers also discussed various interventions that have been tested to improve prescription practices.…”

Section: Oxygen Prescriptionmentioning

confidence: 99%

“…Various reasons have been proposed for this, including: insufficient training and education for medical and nursing staff; 33 , 39 , 41 , 42 , 47 , 51 , 54 , 62 a lack of familiarity with oxygen delivery devices; 51 a lack of understanding of the effects, role and dangers of oxygen therapy; 35 – 37 , 46 , 61 staff time constraints; 48 necessity to maintain SpO 2 >94% due to the “between the flags” track and trigger observations charts; 36 practical issues related to space and place for prescribing oxygen; 35 , 39 , 61 difficulties with changing long established behavior; 36 , 60 patients transferred from other wards/departments with oxygen therapy already in situ; 44 lack of enthusiasm by senior clinical staff; 44 communication difficulties between doctors and nurses; 36 lack of full time staff or staff turnover. 36 , 38 , 48 , 60 …”

Section: Oxygen Prescriptionmentioning

confidence: 99%

“…Interventions that have been employed are presented in Table 1 and the degree of change achieved pre- and postintervention is presented graphically in Figure 2 . These interventions include: introduction of oxygen alert stickers; 39 , 59 – 61 dedicated oxygen order chart; 35 clearly delineated section on the drug chart or changes to the drug chart to include space for the transcription of oxygen orders; 34 – 36 , 48 , 60 informational posters; 59 – 61 email notification/dissemination of information; 60 , 61 educational session across various clinical specialties and at various key times; 34 , 36 , 39 , 44 , 48 , 56 , 59 – 61 nurse facilitated reminder system; 38 development of hospital guidelines/policy to guide practice; 36 , 42 , 59 , 60 admission bundle with electronic prescribing system; 45 message alerts on computer login screens. 60 …”

Section: Oxygen Prescriptionmentioning

confidence: 99%

“…clearly delineated section on the drug chart or changes to the drug chart to include space for the transcription of oxygen orders; 34 – 36 , 48 , 60…”

Section: Oxygen Prescriptionmentioning

confidence: 99%

“…educational session across various clinical specialties and at various key times; 34 , 36 , 39 , 44 , 48 , 56 , 59 – 61 …”

Section: Oxygen Prescriptionmentioning

confidence: 99%

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Acute oxygen therapy: a review of prescribing and delivery practices

Cousins

Wark

McDonald

2016

COPD

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Oxygen is a commonly used drug in the clinical setting and like other drugs its use must be considered carefully. This is particularly true for those patients who are at risk of type II respiratory failure in whom the risk of hypercapnia is well established. In recent times, several international bodies have advocated for the prescription of oxygen therapy in an attempt to reduce this risk in vulnerable patient groups. Despite this guidance, published data have demonstrated that there has been poor uptake of these recommendations. Multiple interventions have been tested to improve concordance, and while some of these interventions show promise, the sustainability of these interventions are less convincing. In this review, we summarize data that have been published on the prevalence of oxygen prescription and the accurate and appropriate administration of this drug therapy. We also identify strategies that have shown promise in facilitating changes to oxygen prescription and delivery practice. There is a clear need to investigate the barriers, facilitators, and attitudes of clinicians in relation to the prescription of oxygen therapy in acute care. Interventions based on these findings then need to be designed and tested to facilitate the application of evidence-based guidelines to support sustained changes in practice, and ultimately improve patient care.

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Section: Oxygen Prescriptionmentioning

confidence: 99%

Section: Oxygen Prescriptionmentioning

confidence: 99%

Section: Oxygen Prescriptionmentioning

confidence: 99%

“…clearly delineated section on the drug chart or changes to the drug chart to include space for the transcription of oxygen orders; 34 – 36 , 48 , 60…”

Section: Oxygen Prescriptionmentioning

confidence: 99%

“…educational session across various clinical specialties and at various key times; 34 , 36 , 39 , 44 , 48 , 56 , 59 – 61 …”

Section: Oxygen Prescriptionmentioning

confidence: 99%

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