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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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. |
doi_str_mv | 10.1016/j.iccn.2004.07.003 |
format | Article |
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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.</description><identifier>ISSN: 0964-3397</identifier><identifier>EISSN: 1532-4036</identifier><identifier>DOI: 10.1016/j.iccn.2004.07.003</identifier><identifier>PMID: 15567676</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>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</subject><ispartof>Intensive & critical care nursing, 2004-12, Vol.20 (6), p.352-357</ispartof><rights>2004 Elsevier Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c360t-d264aa31f6ec6c171bcd22ac8db2a0537b80f4c3aba6a6c648677725b184b8653</citedby><cites>FETCH-LOGICAL-c360t-d264aa31f6ec6c171bcd22ac8db2a0537b80f4c3aba6a6c648677725b184b8653</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1034898815?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>315,781,785,3551,12851,27929,27930,31004,31005,46000,64390,64392,64394,72474</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15567676$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Brokalaki, Hero</creatorcontrib><creatorcontrib>Matziou, Vassiliki</creatorcontrib><creatorcontrib>Zyga, Sophia</creatorcontrib><creatorcontrib>Kapella, Maria</creatorcontrib><creatorcontrib>Tsaras, Konstantinos</creatorcontrib><creatorcontrib>Brokalaki, Eirene</creatorcontrib><creatorcontrib>Myrianthefs, Pavlos</creatorcontrib><title>Omissions and errors during oxygen therapy of hospitalized patients in a large city of Greece</title><title>Intensive & critical care nursing</title><addtitle>Intensive Crit Care Nurs</addtitle><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.</description><subject>Clinical Competence - standards</subject><subject>Departments</subject><subject>Disinfection</subject><subject>Drinking water</subject><subject>Education</subject><subject>Greece</subject><subject>Guideline Adherence - statistics & numerical data</subject><subject>Guidelines</subject><subject>Hospitals</subject><subject>Hospitals, General</subject><subject>Hospitals, Pediatric</subject><subject>Hospitals, State</subject><subject>Hospitals, Urban</subject><subject>Humans</subject><subject>Infection Control</subject><subject>Medical Errors - nursing</subject><subject>Medical Errors - prevention & control</subject><subject>Medical Errors - statistics & numerical data</subject><subject>Nebulized therapy</subject><subject>Nebulizers</subject><subject>Needs Assessment</subject><subject>Nurse's Role</subject><subject>Nurses</subject><subject>Nursing</subject><subject>Nursing Audit</subject><subject>Nursing care</subject><subject>Nursing Evaluation Research</subject><subject>Nursing Staff, Hospital - 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adverse effects</topic><topic>Oxygen Inhalation Therapy - nursing</topic><topic>Oxygen Inhalation Therapy - standards</topic><topic>Oxygen Inhalation Therapy - statistics & numerical data</topic><topic>Oxygen therapy</topic><topic>Patient Selection</topic><topic>Patients</topic><topic>Practice Guidelines as Topic</topic><topic>Prescription</topic><topic>Prescriptions - standards</topic><topic>Prescriptions - statistics & numerical data</topic><topic>Professional Autonomy</topic><topic>Questionnaires</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Brokalaki, Hero</creatorcontrib><creatorcontrib>Matziou, Vassiliki</creatorcontrib><creatorcontrib>Zyga, Sophia</creatorcontrib><creatorcontrib>Kapella, Maria</creatorcontrib><creatorcontrib>Tsaras, Konstantinos</creatorcontrib><creatorcontrib>Brokalaki, Eirene</creatorcontrib><creatorcontrib>Myrianthefs, Pavlos</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>British Nursing Database</collection><collection>British Nursing Index</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Sociology Collection</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Sociology Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Intensive & critical care nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Brokalaki, Hero</au><au>Matziou, Vassiliki</au><au>Zyga, Sophia</au><au>Kapella, Maria</au><au>Tsaras, Konstantinos</au><au>Brokalaki, Eirene</au><au>Myrianthefs, Pavlos</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Omissions and errors during oxygen therapy of hospitalized patients in a large city of Greece</atitle><jtitle>Intensive & critical care nursing</jtitle><addtitle>Intensive Crit Care Nurs</addtitle><date>2004-12</date><risdate>2004</risdate><volume>20</volume><issue>6</issue><spage>352</spage><epage>357</epage><pages>352-357</pages><issn>0964-3397</issn><eissn>1532-4036</eissn><abstract>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.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>15567676</pmid><doi>10.1016/j.iccn.2004.07.003</doi><tpages>6</tpages></addata></record> |
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source | MEDLINE; Applied Social Sciences Index & Abstracts (ASSIA); Access via ScienceDirect (Elsevier); ProQuest Central UK/Ireland |
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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