Oxygen as a drug and scarce commodity: Do we use it rationally?
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View abstract on PubMed
Summary
This summary is machine-generated.Many adult patients received oxygen therapy without a prescription, and many who had prescriptions did not receive it as ordered. These poor practices highlight the need for better oxygen therapy guidelines and training.
Area Of Science
- Medical practice
- Pulmonology
- Health systems research
Background
- Medical oxygen is a drug requiring a prescription.
- Oxygen therapy is vital for patients with hypoxemia.
- The COVID-19 pandemic underscored the need for rational oxygen use.
Purpose Of The Study
- To investigate oxygen therapy practices in adult ward patients.
- To identify prescription and administration errors.
- To assess oxygen wastage.
Main Methods
- Cross-sectional study with analytical components.
- Conducted in two hospitals in Bloemfontein.
- Data collected via patient files, interviews, and oxygen measurements.
Main Results
- 47% of patients received oxygen without a prescription.
- 62.3% of prescribed oxygen was not administered correctly.
- COVID-19 patients had better oxygen management than non-COVID-19 patients.
- Approximately 25% of patients may have received unnecessary oxygen therapy.
Conclusions
- Significant prescription and administration errors in oxygen therapy were identified.
- Oxygen wastage is a concern.
- Development and implementation of a protocol and training are recommended to improve oxygen therapy practices and prevent wastage.
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