Compliance and Adherence to Oxygen Therapy Prescription in a Critical Care Department of a Rural Tertiary Teaching Hospital: A Prospective Audit
- 1. Department of Emergency Medicine and Critical Care, Pramukh Swami Medical College, Bhaikaka University, Karamsad
- 2. Department of Paediatrics , Pramukh Swami Medical College, Bhaikaka University, Karamsad
- 3. Department of Anaesthesia and Critical Care, Pramukh Swami Medical College, Bhaikaka University , Karamsad
Description
Context: Oxygen therapy is essential for managing various medical conditions. Being a drug, it has to be prescribed rationally with appropriate dose and device. Targets to be achieved depends upon clinical status. Non-compliance with prescribed guidelines can compromise patient outcome. Aims: This prospective audit was aimed to assess compliance to prescribed oxygen therapy and documentation of appropriate prescription as per guidelines, followed in a critical care department. Settings and Design: A prospective observational audit was conducted in a critical care unit of a tertiary care teaching hospital, located in a rural region. Methods and Material: Sixty consecutive patients fulfilling inclusion criteria, admitted to the intensive care unit were included, and their oxygen therapy compliance were evaluated as per (British Thoracic society) BTS guideline. Compliance was analysed for achieving targeted oxygen saturation levels and adhering to prescribed oxygen flow levels. The prescription documented in the electronic record were also analysed for its completeness regarding instruction. Results: The study revealed a fairly high compliance rate (76.6%) in achieving the desired oxygen saturation levels, indicating effective oxygen delivery tailored to patient needs. However, proper documentation of oxygen therapy prescription was low (26.6%), highlighting potential gaps in oxygen prescription. Conclusions: This audit indicate reasonably good compliance in achieving desired oxygen saturation level in a rural setting. However, documentation of oxygen prescription was poor. Education, training, and enhanced monitoring will be crucial to ensuring guideline compliance, optimizing patient outcomes, and minimizing risks associated with suboptimal therapy.
Abstract (English)
Context: Oxygen therapy is essential for managing various medical conditions. Being a drug, it has to be prescribed rationally with appropriate dose and device. Targets to be achieved depends upon clinical status. Non-compliance with prescribed guidelines can compromise patient outcome. Aims: This prospective audit was aimed to assess compliance to prescribed oxygen therapy and documentation of appropriate prescription as per guidelines, followed in a critical care department. Settings and Design: A prospective observational audit was conducted in a critical care unit of a tertiary care teaching hospital, located in a rural region. Methods and Material: Sixty consecutive patients fulfilling inclusion criteria, admitted to the intensive care unit were included, and their oxygen therapy compliance were evaluated as per (British Thoracic society) BTS guideline. Compliance was analysed for achieving targeted oxygen saturation levels and adhering to prescribed oxygen flow levels. The prescription documented in the electronic record were also analysed for its completeness regarding instruction. Results: The study revealed a fairly high compliance rate (76.6%) in achieving the desired oxygen saturation levels, indicating effective oxygen delivery tailored to patient needs. However, proper documentation of oxygen therapy prescription was low (26.6%), highlighting potential gaps in oxygen prescription. Conclusions: This audit indicate reasonably good compliance in achieving desired oxygen saturation level in a rural setting. However, documentation of oxygen prescription was poor. Education, training, and enhanced monitoring will be crucial to ensuring guideline compliance, optimizing patient outcomes, and minimizing risks associated with suboptimal therapy.
Files
IJPCR,Vol16,Issue5,Article149.pdf
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Additional details
Dates
- Accepted
-
2024-04-13
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/16/IJPCR,Vol16,Issue5,Article149.pdf
- Development Status
- Active
References
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