Dataset Information

Implementing target range oxygen in critical care: A quality improvement pilot study.

ABSTRACT:

Background

Iatrogenic hyperoxaemia is common on critical care units and has been associated with increased mortality. We commenced a quality improvement pilot study to analyse the views and practice of critical care staff regarding oxygen therapy and to change practice to ensure that all patients have a prescribed target oxygen saturation range.

Methods

A baseline measurement of oxygen target range prescribing was undertaken alongside a survey of staff attitudes. We then commenced a programme of change, widely promoting an agreed oxygen target range prescribing policy. The analyses of target range prescribing and staff survey were repeated four to five months later.

Results

Thirty-three staff members completed the baseline survey, compared to 29 in the follow-up survey. There was no discernible change in staff attitudes towards oxygen target range prescribing. Fifty-four patients were included in the baseline survey and 124 patients were assessed post implementation of changes. The proportion of patients with an oxygen prescription with a target range improved from 85% to 95% (?²?=?5.17, p?=?0.02) and the proportion of patients with an appropriate prescribed target saturation range increased from 85% to 91% (?²?=?1.4, p?=?0.24). The improvement in target range prescribing was maintained at 96% 12 months later.

Conclusions

The introduction and promotion of a structured protocol for oxygen prescribing were associated with a sustained increase in the proportion of patients with a prescribed oxygen target range on this unit.

SUBMITTER: Heartshorne R

PROVIDER: S-EPMC7890755 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature

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Publications

Implementing target range oxygen in critical care: A quality improvement pilot study.

Heartshorne Rosie R Cardell Jenna J O'Driscoll Ronan R Fudge Tim T Dark Paul P

Journal of the Intensive Care Society 20191213 1

<h4>Background</h4>Iatrogenic hyperoxaemia is common on critical care units and has been associated with increased mortality. We commenced a quality improvement pilot study to analyse the views and practice of critical care staff regarding oxygen therapy and to change practice to ensure that all patients have a prescribed target oxygen saturation range.<h4>Methods</h4>A baseline measurement of oxygen target range prescribing was undertaken alongside a survey of staff attitudes. We then commenced ...[more]

PMID: 33643428

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Dataset Information

Implementing target range oxygen in critical care: A quality improvement pilot study.

Background

Methods

Results

Conclusions

Publications

Implementing target range oxygen in critical care: A quality improvement pilot study.

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