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Emergency Oxygen audit October 2009 How can data be used locally?

Emergency Oxygen audit October 2009 How can data be used locally?. Example from Southend University Hospital Prof Tony Davison, Dr Ronan O’Driscoll, Sr Lisa Ward, Sr Mary Monaghan Acknowledgements: Sally Wellham, Christine Bucknall, Chris Routh. Total Summary Data.

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Emergency Oxygen audit October 2009 How can data be used locally?

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  1. Emergency Oxygen audit October 2009How can data be used locally? Example from Southend University Hospital Prof Tony Davison, Dr Ronan O’Driscoll, Sr Lisa Ward, Sr Mary Monaghan Acknowledgements: Sally Wellham, Christine Bucknall, Chris Routh

  2. Total Summary Data • 538 inpatients on day of audit • 70 (13%) patients were on oxygen • 56 (79%) had a valid prescription • Note only 8% pre oxygen policy • 5 (9%) patients however had another type of written order for 02 (in notes) • 9 (16%) had no prescription

  3. Summary Data by directorate • 366 Medical patients • 172 Surgical patients 47 (12%) medical patients on 02 39 (83%) General Medicine had a valid prescription 5 patients in Medicine had no prescription 23 (13%) Surgical patients were on oxygen 17 (73%) Surgical had a valid prescription 4patients in surgery had no prescription

  4. Oxygen prescriptions

  5. No of inpatients on oxygen by ward

  6. Number of patients on oxygen and oxygen prescriptions by ward

  7. Nurses signatures on drug charts • Total drug rounds requiring signatures =544. 389 (71%) signed for • Medicine = 382 drug rounds 295 (77%) signed for • Surgery = 162 drug rounds 94 (58%) signed for

  8. Total drugs round requiring signatures

  9. Were target saturations in range ? (10%) (6%)

  10. Were Target saturations in range per ward? NB= only Bedwell, E Loury, Hockley and Ed Stone had saturations above range

  11. Number of devices in use at time of audit

  12. Were the patients using the same O2 delivery device as listed on the observation chart? 69 patients (97%) were

  13. SummaryHow can oxygen audit data be used locally • Gives overall performance compared with national data • Gives year to year comparisons – are we improving? • Can compare wards and directorates: • For oxygen prescriptions • Drug round signing • Observations completed • Number of patients in target saturations • Use of devices • Whether device correctly recorded

  14. Summary • Can identify Consultants whose patients don’t have a valid prescription • Data could be used to measure performance on wards • Data can be used to target supplementary training for wards and medical staff

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