Omissions and errors during oxygen therapy of hospitalized patients in a large city of Greece

Omissions and errors are commonly found concerning hospital oxygen use and the use of nebulizers. The aim of the study was to record oxygen use in seven hospitals located in a large district city of Greece. Another aim was to record the use of nebulizers in the same hospitals. We included 105 head n...

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Veröffentlicht in:Intensive & critical care nursing 2004-12, Vol.20 (6), p.352-357
Hauptverfasser: Brokalaki, Hero, Matziou, Vassiliki, Zyga, Sophia, Kapella, Maria, Tsaras, Konstantinos, Brokalaki, Eirene, Myrianthefs, Pavlos
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container_issue 6
container_start_page 352
container_title Intensive & critical care nursing
container_volume 20
creator Brokalaki, Hero
Matziou, Vassiliki
Zyga, Sophia
Kapella, Maria
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Brokalaki, Eirene
Myrianthefs, Pavlos
description Omissions and errors are commonly found concerning hospital oxygen use and the use of nebulizers. The aim of the study was to record oxygen use in seven hospitals located in a large district city of Greece. Another aim was to record the use of nebulizers in the same hospitals. We included 105 head nurses (HNs) working in seven hospitals of a large city district of Greece. Data were collected after interviewing each HN using a questionnaire and completing an anonymous data form. Data are expressed as percentages and analyzed using the chi-square test. We found that 41% of HN believed O 2 is a gas that improves patient's dyspnea. The majority of the nurses (88.6%) stated that there was no protocol for O 2 therapy in the departments in which they worked. We found that O 2 therapy was commonly started, modified, discontinued by nurses in the absence of a medical order. Oxygen therapy was commonly not guided by arterial blood gas (ABG) analysis. We also found that there are no guidelines to prevent O 2 therapy interruption during intra-hospital transportation, and that few measures were taken to prevent O 2 explosion. In 95.2% of the departments the nebulizers were filled with tap water and were not changed on a daily basis (81.2%). Our results indicate that educational programmes, nursing protocols and guidelines are becoming mandatory in our country in order to ensure the proper use of O 2 therapy and nebulizers.
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The aim of the study was to record oxygen use in seven hospitals located in a large district city of Greece. Another aim was to record the use of nebulizers in the same hospitals. We included 105 head nurses (HNs) working in seven hospitals of a large city district of Greece. Data were collected after interviewing each HN using a questionnaire and completing an anonymous data form. Data are expressed as percentages and analyzed using the chi-square test. We found that 41% of HN believed O 2 is a gas that improves patient's dyspnea. The majority of the nurses (88.6%) stated that there was no protocol for O 2 therapy in the departments in which they worked. We found that O 2 therapy was commonly started, modified, discontinued by nurses in the absence of a medical order. Oxygen therapy was commonly not guided by arterial blood gas (ABG) analysis. We also found that there are no guidelines to prevent O 2 therapy interruption during intra-hospital transportation, and that few measures were taken to prevent O 2 explosion. In 95.2% of the departments the nebulizers were filled with tap water and were not changed on a daily basis (81.2%). 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subjects Clinical Competence - standards
Departments
Disinfection
Drinking water
Education
Greece
Guideline Adherence - statistics & numerical data
Guidelines
Hospitals
Hospitals, General
Hospitals, Pediatric
Hospitals, State
Hospitals, Urban
Humans
Infection Control
Medical Errors - nursing
Medical Errors - prevention & control
Medical Errors - statistics & numerical data
Nebulized therapy
Nebulizers
Needs Assessment
Nurse's Role
Nurses
Nursing
Nursing Audit
Nursing care
Nursing Evaluation Research
Nursing Staff, Hospital - education
Nursing Staff, Hospital - standards
Oxygen
Oxygen Inhalation Therapy - adverse effects
Oxygen Inhalation Therapy - nursing
Oxygen Inhalation Therapy - standards
Oxygen Inhalation Therapy - statistics & numerical data
Oxygen therapy
Patient Selection
Patients
Practice Guidelines as Topic
Prescription
Prescriptions - standards
Prescriptions - statistics & numerical data
Professional Autonomy
Questionnaires
Surveys and Questionnaires
title Omissions and errors during oxygen therapy of hospitalized patients in a large city of Greece
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