Doctors learn new tricks, but do they remember them? Lack of effect of an educational intervention in improving Oxygen prescribing

Respirology : Official Journal of the Asian Pacific Society of Respirology
Hamish MyersLutz Beckert

Abstract

The 'audit cycle' is a fundamental part of improving clinical performance. For this to be effective, improvements made must be sustained. We observed that the prescription of Oxygen is often poor. Our aim was to audit Oxygen prescription before and after an educational intervention, and then again 4 years on. We hypothesized that improvements made immediately after the intervention would not be sustained over a longer period of time. Oxygen prescription was assessed in 102 inpatients between June and August 2009. Following this, an educational intervention to improve Oxygen prescription was staged. Oxygen prescription was then re-audited in a further 102 inpatients between September 2009 and February 2010. A third audit of 72 inpatients took place between February and May 2014. One-way analysis of variance showed significant variance between audit groups (F 8.74, F-crit 4.26, P = 0.008). Post-hoc analysis with paired t-tests confirmed significant improvement in the rate of Oxygen prescription in the second audit (24.5-58.8%, P = 0.01), immediately after the intervention. Four years on in the third audit, there was significant deterioration in the rate of Oxygen prescription compared with the second audit (58.8-13.9%, P = 0.01)....Continue Reading

References

Mar 11, 2005·The New England Journal of Medicine·Nils KucherSamuel Z Goldhaber
Dec 13, 2007·British Journal of Nursing : BJN·Steven Hickey
Jul 23, 2008·The Cochrane Database of Systematic Reviews·Anna P FarmerFredric Wolf
Oct 22, 2008·Thorax·B R O'DriscollUNKNOWN British Thoracic Society
Apr 17, 2009·The Cochrane Database of Systematic Reviews·Louise ForsetlundAndrew D Oxman
Jan 25, 2012·Clinical Medicine : Journal of the Royal College of Physicians of London·Ela StachowAndy Johnston
Jun 15, 2012·The Cochrane Database of Systematic Reviews·Noah IversAndrew D Oxman

❮ Previous
Next ❯

Citations

Mar 31, 2016·Respirology : Official Journal of the Asian Pacific Society of Respirology·Chris GraingeFanny W S Ko
Sep 7, 2019·Pharmacy : Journal of Pharmacy, Education and Practice·Alan Hanna, Lezley-Anne Hanna
Jul 1, 2021·Jornal brasileiro de pneumologia : publicaça̋o oficial da Sociedade Brasileira de Pneumologia e Tisilogia·Felipe Meirelles de AzevedoCarla Malaguti

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Nursing Standard
Karen Elcock
Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association
Diane Gurney
Australian Clinical Review
P Tugwell, E Manganelli
© 2021 Meta ULC. All rights reserved