An audit of oxygen supplementation in a large tertiary hospital - We should treat oxygen as any other drug
Internal Medicine; Medicine; Pediatrics; Healthcare Quality
Objectives: To examine the current state of practice of oxygen (O2) supplementation in adults hospitalized in a tertiary hospital admitted to medical-surgical floors Methods: We recorded: the proportion of patients on O2; their peripheral O2 saturation (SpO2); if the SpO2 was within, above or below the target range; if patients had an order for O2 supplementation and a target SpO2 range.
Results: Among 811 hospitalized patients, 153 (19%) were on supplemental O2. Forty nine percent were in the recommended range, 55% above and 1% below. All patients with COPD on O2 supplementation had a SpO2 more than 92% exposing them to the risk of hypercarbia. Only 43% of patients on oxygen had an associated order and only 52% of patients with an O2 order had an order for a goal SpO2 range.
Conclusions: Our results demonstrate widespread hyperoxia among hospitalized patients and that oxygen, a very common therapy, is being administered frequently without any written order. These findings highlight the opportunity to implement safe prescribing measures for O2, similar to other prescribed medications.
Keywords: conservative oxygen therapy; hyperoxia; hypoxia; implementation; oxygenation.
Devoe NC, Kyriazis P, Eltanbedawi A, Contractor A, Esposito AW, Khan MS, Daniel J, Stefan MS. An audit of oxygen supplementation in a large tertiary hospital - We should treat oxygen as any other drug. Hosp Pract (1995). 2020 Nov 5. doi: 10.1080/21548331.2020.1845018. Epub ahead of print.