showing the results of oxygen therapy prescription, documentation and administration before (2011) and after (2015) the publication of the local hospital oxygen therapy guideline in patients in whom oxygen therapy was indicated, i.e. SpO2 or SaO2 <94%, or <88% in patients with, or at risk of, type two respiratory failure.
In patients in whom oxygen therapy was indicated
 

Year of data collection
No. of patients in whom O2* was indicated O2 administered at the ED** and documented correctly** O2 prescribed correctly in management plan Correct *** O2 prescription documented in treatment chart O2 administered in ward
Correctly as prescribed Incorrectly or not given at all

2011

(before guideline)

85

23.5%

(n=20)

34.1%

(n=29)

51.8% (n=44)

7.1%

(n=6)

92.9% (n=79)

2015 (after guideline)

92

73.9%

(n=68)

76.1%

(n=70)

58.7% (n=54)

48.9% (n=45****)

48.9% (n=45****)

   

p<0.01

p<0.01

p=0.352

p<0.01

p<0.01

*02 = supplemental oxygen therapy

**ED = emergency department

***Correct = including both the delivery device and the flow rate (not deemed to be necessary for Venturi masks if the concentration of oxygen is specified)

****1 patient refused 02, and another patient had oxygen therapy prescribed only as required (PRN)