Author:
Ding Jack B.,Varkey Thomas C.
Abstract
Abstract
Background
Inappropriate prescription of intravenous fluid therapy is highly prevalent in hospitals, with up to 1 in 5 patients suffering from preventable, additional morbidity. Since trainee physicians are frequently responsible for prescribing intravenous fluids, it is possible that common medical student resources do not sufficiently cover the topic. There is a paucity of recent literature on this issue, which this study was designed to address.
Methods
Two original evaluation tools were created by the authors to evaluate reference books, official guidelines, and online reference sources commonly used by medical students in the United States of America, Australia, and the United Kingdom on their coverage of foundational and clinically relevant principles of intravenous fluid prescription. The choice of student resources was guided by a literature search and personal experience. A total of 10 resources was assessed.
Results
Resources were generally deficit in their coverage of basic intravenous fluid topics. The total points each topic accumulated ranged from 0.5 (5%) to 7.5 (75%), with the median score being 4.5 (45%), on a scale from 0 to 10 points.
Conclusions
Popular medical student resources poorly cover intravenous fluid therapy topics. This may be contributing to inadequate fluid prescribing practices.
Publisher
Springer Science and Business Media LLC
Subject
Education,General Medicine
Reference21 articles.
1. Myburgh JA, Mythen MG. Resuscitation fluids. N Engl J Med. 2013;369:1243–51. https://doi.org/10.1056/NEJMra1208627.
2. National Clinical Guideline C: National Institute for Health and Clinical Excellence: Guidance. Intravenous Fluid Therapy: Intravenous Fluid Therapy in Adults in Hospital. In: Royal College of Physicians (UK). London: National Clinical Guideline Centre; 2013. (Copyright © 2013).
3. Walsh SR, Walsh CJ. Intravenous fluid-associated morbidity in postoperative patients. Ann R Coll Surg Engl. 2005;87:126–30. https://doi.org/10.1308/147870805x28127.
4. Sansom LT, Duggleby L. Intravenous fluid prescribing: Improving prescribing practices and documentation in line with NICE CG174 guidance. BMJ Qual Improv Rep. 2014;3:u205899-w2409. https://doi.org/10.1136/bmjquality.u205899.w2409.
5. Ramsay G, Baggaley A, Vaughan Shaw PG, Soltanmohammadi E, Ventham N, Guat Shi N, Pearson R, Knight SR, Forde CT, Moore N, Kilkenny J, Clement KD, Kumar M. Variability in the prescribing of intravenous fluids: A cross sectional multicentre analysis of clinical practice. Int J Surg. 2018;51:199–204. https://doi.org/10.1016/j.ijsu.2018.01.034.
Cited by
1 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献
1. Prescribing intravenous fluids: a review;Journal of Prescribing Practice;2023-06-02