ArticleCureus2025
Clinical Audit of Acute Oxygen Therapy: Enhancing Patient Care at Atbara Teaching Hospital.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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Authors and funding
19 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAcute oxygen therapy is vital for managing critically ill and hypoxemic patients, with British Thoracic Society (BTS) guidelines emphasizing precise prescribing, target saturation ranges, and continuous monitoring. Despite clear protocols, global audits reveal frequent lapses in documentation, prescription clarity, and adherence to saturation targets. The objective of this audit was to evaluate and improve the practice of oxygen therapy delivery in the emergency department at Atbara Teaching Hospital, Atbara, Sudan, through baseline assessment, implementation of a standardized protocol, and targeted educational sessions, with reassessment in a follow-up cycle to measure impact.
methodsA mixed retrospective-prospective audit was conducted over two cycles (Cycle 1: 15
resultsCycle 1 revealed critical deficiencies, which were as follows: nasal cannula at 2-6 L/min (26.0%; 8/30), non-rebreather mask at 10-15 L/min (17.4%; 5/30), weaning compliance (33.3%; 10/30), and target saturation documentation (46.7%; 14/30). Post intervention (Cycle 2), nasal cannula compliance reached 100% (30/30; +74%), non-rebreather mask 91.6% (27/30; +74.2%), and face mask 100% (30/30; +21.7%). Documentation of oxygen saturation improved to 100% (30/30; +10%), target saturation recording to 100% (30/30; +53.3%), and weaning compliance to 91.6% (27/30; +58.3%). Immediate oxygen for at-risk patients rose to 96.7% (29/30; +16.7%). Notably, timely discontinuation decreased to 76.7% (23/30; -13.3%), and the target range specification for type 2 failure remained suboptimal (66.7%; 20/30).
conclusionEducation and protocol implementation significantly improved oxygen delivery accuracy and documentation. The decline in discontinuation compliance highlights an ongoing challenge requiring focused interventions. Sustained adherence necessitates regular reinforcement and re-auditing.
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