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Improving surgical intravenous fluid management: a controlled educational study.

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An educational intervention significantly improved intravenous (i.v.) fluid prescription and administration in colorectal surgery patients. This evidence-based approach enhanced both doctor prescribing and nurse administration of i.v. fluids.

Keywords:
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Area of Science:

  • Medical Education
  • Surgical Patient Care
  • Fluid Management

Background:

  • Intravenous (i.v.) fluid management is critical in surgical patient care.
  • Baseline assessment revealed suboptimal prescription and administration of i.v. fluids in colorectal inpatients.
  • Evidence-based educational interventions are needed to improve clinical practice.

Purpose of the Study:

  • To evaluate the effectiveness of a multifaceted educational intervention on i.v. fluid prescription and administration.
  • To compare outcomes between an intervention group and a control group.

Main Methods:

  • A quasi-experimental design was used across two teaching hospitals.
  • A baseline audit of i.v. fluid management was conducted for 4 weeks.
  • An educational intervention (lectures, posters, pocket protocols) was implemented at one site, while the other served as a control.

Main Results:

  • At the intervention site, correct maintenance i.v. fluid prescription increased from 21% to 62% (P < 0.001).
  • Correct administration of i.v. maintenance fluids improved from 26% to 57% (P < 0.001).
  • Improvements were also observed in gastric and bowel fluid loss replacement, with no significant changes at the control site.

Conclusions:

  • A multifaceted educational intervention significantly improved i.v. fluid prescription and administration in colorectal surgery patients.
  • The intervention demonstrated a positive impact on clinical practice and patient care.
  • This approach offers a scalable solution for enhancing fluid management protocols.