Oxygen Ward Audits 2014
Linda Pearce
Respiratory Consultant Nurse
West Suffolk NHS Foundation Trust
Participated annually in BTS
National Audits of the
Emergency Use of Oxygen
since baseline audit in 2008.
Results for the 2013
audit were generally
above the National
performance reported
by the BTS
Use standard BTS
audit tool
Initially Trust performance
compared very favourably
against the National findings,
although the 2012 audit
appeared to show falling
standards
Patient Safety and
Implementation Group keen
to improve oxygen
prescription and
administration
Agreed junior doctors to
audit oxygen therapy as
part of established ward
audit programme
March, June, October 2014
Aim: snapshot audit conducted on all
Inpatient wards on one day
11 wards participated
2 medical and 2 surgical wards did not
participate
no patients on oxygen on a further ward
March
2014 Ward
Audit
%
June
2014
Ward
Audit
%
October
2014 Ward
Audit
%
Total in-patients on ward
281
Total patients on Oxygen
41
15
42
14
67
27
21
51
25
60
33
49
12
29
8
19
20
30
other target range
3
7
0
0
7
10
patients using O2 by
other order
0
0
4
9
1
2
patients using O2, no
prescription
5
12
5
12
6
9
81
61
87
67
144
69
target range 94 - 98%
target range 88 - 92%
signatures for O2 observation chart
307
246
March
2014
Ward
Audit
Observation rounds should have
taken place
374
O2 saturations actually monitored
371
%
June
2014
Ward
Audit
%
255
99
271
October
2014
Ward
Audit
%
287
106
316
110
Number of patients on Oxygen
with target range
37
SPO2 within target range
30
81
31
79
43
69
SPO2 below target range by 1%
1
3
2
5
1
2
SPO2 below target range by 2%
1
3
0
0
0
0
SPO2 below target range by >2%
1
3
1
3
2
3
SPO2 above target range by 1%
1
3
0
0
5
8
SPO2 above target range by 2%
1
3
1
3
5
8
SPO2 above target range by >2%
2
5
4
10
6
10
Total patients for whom not
applicable
4
39
3
62
5
proportion of patients maintained
within target range fell by 10%
(69%) compared with the
previous audit level - still above
the BTS audit average (63.6%)
The result for patients using
oxygen without prescription
improved compared with the
previous two audits
(March/June 12%, Oct 9%).
Of the 19 patients
maintained outside
target range, 16 were
above target range
The improvement in percentage of signatures to
drug rounds found in the June audit was maintained
– up a further 2% to 69%.
NB. considerably higher than the national data for
October 2013 (21.4% signatures to rounds).
Results for planned
monitoring of O2
saturations excess
monitoring level
(110%)
Watch this space…
Going paperless this Autumn