ArticleJRSM short reports2012
Intravenous fluid prescribing practices by foundation year one doctors - a questionnaire study.
Article in JRSM short reports, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
9 citing papers in PubMed.
- Intravenous fluid therapy: a multi-national, cross-sectional survey of common medical student resources.BMC medical education · 2022Article
- Article
- Fluid management knowledge in hospital physicians: 'Greenshoots' of improvement but still a cause for concern.Clinical medicine (London, England) · 2020Article
- Fluid and electrolyte balance-establishing the knowledge base of Foundation Year One doctors.Irish journal of medical science · 2019Article
- Intravenous fluid selection rationales in acute clinical management.World journal of emergency medicine · 2018Article
- Learning to prescribe intravenous fluids: A scoping review.Perspectives on medical education · 2017Article
- Optimisation of intravenous fluid prescribing: framework for changing practice through education and audits.BMJ open quality · 2017Article
- On-going lessons in fluid prescription: assessment of adherence to weight-based intravenous fluid prescribing in medical inpatients.Clinical medicine (London, England) · 2015Article
- Improving out-of-hours intravenous fluid prescribing for junior doctors: a prescription label.BMJ quality improvement reports · 2013Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesFoundation Year Ones (FY1s) are the most junior doctors in the UK who are often required to prescribe intravenous fluid to patients not under their regular care, during on-call or out-of-hours ward cover. This study aimed to investigate FY1s' practice and decision-making process of intravenous fluid prescribing to these patients.
designQuestionnaire survey.
settingSurvey on Practices during on-calls and out-of-hours ward covers.
participantsFY1s of five National Health Service (NHS) hospitals in England and Scotland.
resultsAll 149 FY1s responded to survey. Eighty-six percent have been taught intravenous fluid prescribing during medical school, compared with only 48% in FY1 induction. More than half always/often checked the patient's urea and electrolytes (U&Es) (72%), read the fluid balance (58%) and observation charts (80%), discussed the case with nursing staff (75%), enquired about oral status (82%), identified the main diagnosis/operation (75%) and indication for intravenous fluid (72%) of the patient when prescribing intravenous fluid. However, less than half often/always read the medical notes (43%) or performed clinical examinations on patients (16%). Most FY1s (94%) always/often checked patient's U&Es when prescribing potassium.
conclusionsThe questionnaire study demonstrated variations among FY1s in the practice and decision-making process of intravenous fluid prescribing to patients unknown to them, during on-calls or out-of-hours ward covers. Such variations in practice should be addressed especially by medical and foundation schools, and NHS hospitals to improve patient care.
Identifiers
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.