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This retrospective, cross-sectional audit assessed prescription accuracy in hospitalised patients receiving supplemental oxygen at Victoria Hospital, Kirkcaldy, during two weeks in November 2024. Among 69 patients initially, only 19% had appropriate documentation. Educational interventions—a poster campaign and an email reminder—raised valid prescriptions to 34% in the second cycle (n=77), showing a statistically significant improvement (p=0.04).",{"@graph":69,"@context":126},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/a-two-cycle-audit-of-oxygen-prescription-in-hospitalised-patients-receiving-supplemental-oxygen-a-retrospective-study/455230/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/a-two-cycle-audit-of-oxygen-prescription-in-hospitalised-patients-receiving-supplemental-oxygen-a-retrospective-study/455230.png","ImageObject",300,407,{"name":92,"@type":93},"awa","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-30",true,{"@type":102,"interactionType":103,"userInteractionCount":44},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118,122],{"name":109,"@type":110,"acceptedAnswer":111},"What problem did the audit address regarding supplemental oxygen?","Question",{"text":112,"@type":113},"The audit addressed inconsistent oxygen prescribing and documentation, despite oxygen being considered a drug where missing or incorrect prescriptions can lead to inadequate delivery and potential harm.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How was the audit conducted?",{"text":117,"@type":113},"It was a retrospective, cross-sectional audit at Victoria Hospital, Kirkcaldy, using data from patients receiving supplemental oxygen in acute and general medical wards during the first and second weeks of November 2024.",{"name":119,"@type":110,"acceptedAnswer":120},"What interventions improved oxygen prescription compliance, and by how much?",{"text":121,"@type":113},"A poster campaign and a mass email reminder to resident doctors were implemented. Valid prescription documentation increased from 19% (n=69) in the first cycle to 34% (n=77) in the second cycle (p=0.04).",{"name":123,"@type":110,"acceptedAnswer":124},"Why did the authors note ongoing barriers to sustained improvement?",{"text":125,"@type":113},"They highlighted the rotation of resident doctors every four months, which disrupted continuity and reduced the long-term effectiveness of the interventions.","https://schema.org",{"og:url":83,"og:type":128,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":130,"canonical":83},"index,follow",{"doc_id":132,"site_id":62},455230,1790982818,{"code":4,"msg":5,"data":135},{"doc_id":132,"user_id":136,"nickname":92,"user_avatar":137,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":138,"file_id":139,"file_url":140,"file_type":141,"file_size":142,"view_count":44,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":39,"language":143,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":144,"faqs":145,"seo_title":146,"seo_description":67,"update_tm":147,"read_time":46,"preview_page_count":4},3985747858093,"https://ap-avatar.wpscdn.com/davatar_3d24733baf745e90a7e4bdd5f77d97b2","Review began 11/07/2025  \nReview ended 12/02/2025  \nPublished 12/08/2025  \n© Copyright 2025  \nThinn et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 4.0. , which permits unrestricted use , distribution , and reproduction in any medium , provided the original author and source are credited.  \nDOI: 10.7759/cureus.98732  \nOpen Access Original Article  \nA Two-Cycle Audit of Oxygen Prescription in Hospitalised Patients Receiving Supplemental Oxygen: A Retrospective Study  \nPyae Phyo Thinn 1, Thet Htar Swe 2, Mark Delicata 3  \n1. Medicine, Victoria Hospital Kirkcaldy, Kirkcaldy, GBR 2. General Medicine, Victoria Hospital Kirkcaldy, Kirkcaldy, GBR 3. Care of Elderly and General Medicine, Victoria Hospital Kirkcaldy, Kirkcaldy, GBR  \nCorresponding author: Pyae Phyo Thinn, [pptmickey@gmail.com](pptmickey@gmail.com)  \nAbstract  \nBackground  \nSupplemental oxygen therapy is an essential intervention for patients with respiratory insufficiency, but its prescription and documentation are often inconsistent. Oxygen is considered a drug, and improper prescribing or absent documentation can result in inadequate oxygen delivery, potentially leading to harmful effects. Despite national guidelines recommending target oxygen saturation ranges for patients, previous audits, such as the 2015 British Thoracic Society study, indicated significant gaps in oxygen prescription practices across hospitals. The aim of this audit was to assess the accuracy of oxygen prescriptions in hospitalised patients receiving supplemental oxygen, and to evaluate the effectiveness of interventions designed to improve compliance.  \nMethods  \nThis audit was conducted at Victoria Hospital, Kirkcaldy (NHS Fife), UK, during the first and second weeks of November 2024. A retrospective, cross-sectional study design was used, and data were collected from 69 patients who were receiving supplemental oxygen in the acute medical and general medical wards.  \nExclusion criteria involved patients under 18 years old, those admitted to specialised units such as A &E, MHDU, or ICU, and patients not receiving supplemental oxygen.  \nResults  \nIn the first audit cycle, only 19% of the 69 patients receiving supplemental oxygen had an appropriate prescription documented on their medication chart. The majority of patients lacked any formal documentation regarding their oxygen therapy. Following this, two interventions were implemented: a poster campaign to raise awareness about oxygen prescription requirements and a mass email reminder to resident doctors. In the second audit cycle, with a sample size of 77 patients in the same acute and general medical wards, the proportion of patients with a valid oxygen prescription increased to 34%, indicating a positive trend towards improved compliance; it is statistically significant (p-value = 0 .04) . A p-value \u003C0 .05 is considered statistically significant.  \nDiscussion  \nThis audit underscores the ongoing challenge in ensuring adequate oxygen prescription practices in hospitals. Despite clear guidelines and local policies, the initiation of oxygen therapy frequently occurs without a corresponding prescription. The improvement seen after simple educational interventions suggests that targeted strategies can enhance staff compliance, but further efforts are necessary. A notable barrier is the rotation of resident doctors every four months, which disrupts continuity and diminishes the long-term effectiveness of interventions.  \nConclusion  \nWhile compliance with oxygen prescription among hospitalised patients remains suboptimal, interventions such as awareness campaigns and email reminders have shown some success in improving practices. Ongoing education and regular re-auditing are crucial to ensure continued adherence to best-practice guidelines, ultimately enhancing patient safety and care quality.  \nCategories: Quality Improvement, Internal Medicine, Pulmonology  \nKeywords: oxygen aud","cbCaimme1oLFMK8V","https://ap.wps.com/l/cbCaimme1oLFMK8V","pdf",2347703,"English","# Abstract\n## Background\n## Methods\n## Results\n## Discussion\n## Conclusion\n# Introduction\n## Oxygen therapy and documentation\n# How to cite this article","[{\"question\":\"What problem did the audit address regarding supplemental oxygen?\",\"answer\":\"The audit addressed inconsistent oxygen prescribing and documentation, despite oxygen being considered a drug where missing or incorrect prescriptions can lead to inadequate delivery and potential harm.\"},{\"question\":\"How was the audit conducted?\",\"answer\":\"It was a retrospective, cross-sectional audit at Victoria Hospital, Kirkcaldy, using data from patients receiving supplemental oxygen in acute and general medical wards during the first and second weeks of November 2024.\"},{\"question\":\"What interventions improved oxygen prescription compliance, and by how much?\",\"answer\":\"A poster campaign and a mass email reminder to resident doctors were implemented. Valid prescription documentation increased from 19% (n=69) in the first cycle to 34% (n=77) in the second cycle (p=0.04).\"},{\"question\":\"Why did the authors note ongoing barriers to sustained improvement?\",\"answer\":\"They highlighted the rotation of resident doctors every four months, which disrupted continuity and reduced the long-term effectiveness of the interventions.\"}]","A Two-Cycle Audit of Oxygen Prescription in Hospitalised Patients Receiving Supplemental Oxygen: A Retrospective Study | PDF",1790742431]