P25 Assessing compliance with oxygen prescribing in paediatrics

Aim The National Patient Safety Agency Rapid Response Report 1 and British Thoracic Society (BTS) guidelines 2 state that oxygen should be prescribed. Following the introduction of electronic prescribing in a specialist children’s hospital, there was reduction number patients whose A series audits were undertaken to determine how often administration accompanied by valid prescription whether variety interventions affected prescribing. Method Eight paediatric wards hospital included audit. Critical care Emergency Department excluded. total 4 completed across 16 months. Each audit comprised pharmacist visiting each ward on single day asking nurses which receiving oxygen. for patient then reviewed prescribed or not. Data recorded analysed using descriptive statistics. Medical nursing staff at time data collection also asked their views about baseline audit, actions introduced order improve rate including: a) Circulation hospital-wide Alert b) Highlighting Ward Managers Meetings Doctor Handovers c) Reminding all new doctors, pharmacists must prescribers challenged when isn’t d) Inclusion Trust’s Medication mandatory training Results (November 2019) found 4.9% compliance with At this point doctors described as ‘unnecessary work’. Junior knew but did not believe it responsibility chase prescribers. remedial action (February 2020) increased 39.1%. Repeat (December 2020 April 2021) 53.8% 42.1% respectively. Conclusion Whilst has improved since Trust achieved target 80% Contributing factors are rapid turnover medical an apparent culture change is required highlight importance amongst multi-disciplinary teams. If impactful made, needs made clear groups important task. key seems continual communication so becomes routine Trust. Action taken includes ensuring relevant aware need prescribe oxygen; regular re-audit sharing results senior nursing, pharmacy staff. process now demonstrated during we have started Quality Improvement Project conjunction who performed worst our audits. References Agency. - Oxygen Hospitals. NPSA/2009/RRR006. Available at: https://www.sps.nhs.uk/wp-content/uploads/2011/08/RRR-Oxygen-safety-2009120092029_v1.pdf O’Driscoll BR, Howard LS, Earis J, behalf Guideline Group, et al . BTS guideline use adults healthcare emergency settings. Thorax 2017; 72 :ii1-ii90.