Safer fluid prescribing

"The National Institute of Clinical Excellence (NICE) released new fluid guidelines following data suggesting 20% of patients receiving fluids suffer adversely (2013). This quality improvement group assessed fluid prescribing in a tertiary teaching centre and introduced a new fluid- prescribing chart to align practice with NICE recommendations."

Safer fluid prescribing at North Bristol Trust: Bringing practice in line with NICE Guidance with a redesign of the fluid prescription chart
J Andersson et al.
BMJ Quality Improvement Reports 2015;4: doi:10.1136/bmjquality.u203816.w1911

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Out of hours intravenous fluid therapy

"Recent NICE guidance has highlighted the importance of appropriate and safe intravenous fluid use. We aimed to improve the quality of out of hours fluid prescription in a Bristol hospital by ensuring that indications and cautions for fluid therapy were clearly documented at the time of initiation."

Out of hours intravenous fluid therapy: a prompt to guide prescribing
J Fehmi et al.
BMJ Quality Improvement Reports 2015;4: doi:10.1136/bmjquality.u204010.w3139

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Intravenous fluid prescribing: Improving prescribing practices

"as a result of improved documentation and consideration given to fluid prescriptions, we were able to increase the percentage of maintenance IV fluid prescriptions that conformed to NICE guidelines."

Intravenous fluid prescribing: Improving prescribing practices and documentation in line with NICE CG174 guidance
BMJ Quality Improvement Reports 2014;3: doi:10.1136/bmjquality.u205899.w2409

LT Sansom, L Duggleby

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