title: Optimising prescription and titration of oxygen for adult inpatients using novel silicone wristbands: results of a pilot project at three centres.
abstract: Oxygen is the most commonly used drug in the acute hospital setting. Oxygen can be lifesaving but there is increasing evidence that it can cause harm if it is not given correctly. Prescription of oxygen, according to target saturations, has been advocated since 2008 but compliance remains at low levels. This paper describes a novel approach to improve oxygen prescription and titration in three acute hospital trusts using a colour-coded silicone wristband. The project ran for 3 months and covered more than 2,000 emergency admissions to hospital. Data was collected for oxygen prescription and titration rates for 270 patients during the project period. The wristbands showed an improvement in prescription and titration of oxygen in two out of three sites. The results support a wider controlled study of colour-coded wristbands to improve oxygen safety in secondary care.
authors.affiliation: Derby Teaching Hospitals NHS Foundation Trust, Derby, UK.
authors.forename: Sarah
authors.initials: S
authors.lastname: Forster
authors.affiliation: Derby Teaching Hospitals NHS Foundation Trust, Derby, UK.
authors.forename: Sue
authors.initials: S
authors.lastname: Smith
authors.affiliation: Nottingham University Hospitals NHS Trust, Nottingham, UK.
authors.forename: Priya
authors.initials: P
authors.lastname: Daniel
authors.affiliation: Nottingham University Hospitals NHS Trust, Nottingham, UK.
authors.forename: Amy
authors.initials: A
authors.lastname: Binnion
authors.affiliation: Nottingham University Hospitals NHS Trust, Nottingham, UK.
authors.forename: Lucy
authors.initials: L
authors.lastname: Briggs
authors.affiliation: University of Leicester Hospitals NHS Trust, Leicester, UK.
authors.forename: Rachel
authors.initials: R
authors.lastname: Evans
authors.affiliation: University of Leicester Hospitals NHS Trust, Leicester, UK.
authors.forename: Kimuli
authors.initials: K
authors.lastname: Ryanna
authors.affiliation: University of Leicester Hospitals NHS Trust, Leicester, UK.
authors.forename: Gerrit
authors.initials: G
authors.lastname: Woltmann
authors.affiliation: University of Leicester Hospitals NHS Trust, Leicester, UK.
authors.forename: Omar
authors.initials: O
authors.lastname: Bajammal
authors.affiliation: Sherwood Forest Hospitals NHS Foundation Trust, Nottingham, UK.
authors.forename: David
authors.initials: D
authors.lastname: Hodgson
authors.affiliation: Nottingham Respiratory Research Unit, School of Medicine, University of Nottingham, Nottingham, UK.
authors.forename: Gauri
authors.initials: G
authors.lastname: Saini
authors.affiliation: University of Leicester Hospitals NHS Trust, Leicester, UK.
authors.forename: Jane
authors.initials: J
authors.lastname: Scullion
authors.affiliation: Nottingham Respiratory Research Unit, School of Medicine, University of Nottingham, Nottingham, UK.
authors.forename: Charlotte E
authors.initials: CE
authors.lastname: Bolton
authors.affiliation: Derby Teaching Hospitals NHS Foundation Trust, Derby, UK gillian.lowrey1@nhs.net.
authors.forename: Gillian
authors.initials: G
authors.lastname: Lowrey
mesh_terms: D000328:Adult; D006801:Humans; D019300:Medical Errors / Q000517:prevention & control*; D010092:Oximetry; D010100:Oxygen / Q000009:adverse effects* / Q000627:therapeutic use; D010102:Oxygen Inhalation Therapy / Q000009:adverse effects* / Q000295:instrumentation* / Q000379:methods; D061214:Patient Safety; D010865:Pilot Projects; D029424:Pulmonary Disease, Chronic Obstructive / Q000628:therapy; D012828:Silicones / Q000627:therapeutic use*; D006113:United Kingdom; D014953:Wrist / Q000502:physiology
chemical_list: D012828:Silicones; D010100:Oxygen
keywords: COPD; oxygen; patient safety; wristband