Abstract：
UNASSIGNED: Foundation doctors and nurses are the clinicians most closely involved in fluid assessment, intravenous (IV) fluid prescription and administration. However, both groups report challenges regarding IV fluids. At a large NHS trust in England, adherence to the National Institute for Health and Care Excellence (NICE) guideline CG174, regarding IV fluids, was largely unknown.
UNASSIGNED: To assess the baseline adherence, within the hospitals, to CG174 and identify areas for improvement.
UNASSIGNED: A set of 12 audit standards were developed and used to collect data across 29 clinical areas between September 2022 and May 2023, with 255 patients receiving IV fluids at any time during their inpatient stay included.
UNASSIGNED: For two standards target adherence of 95% was achieved, with an adherence less than 50% in most. Areas of particularly poor adherence included assessing and meeting fluid and electrolyte requirements, patient reassessment and developing IV fluid management plans.
UNASSIGNED: Trust baseline adherence to NICE CG174 requires improvement, particularly regarding patient assessment and reassessment, and meeting electrolyte requirements.
UNASSIGNED: To assess the baseline adherence, within the hospitals, to CG174 and identify areas for improvement.
UNASSIGNED: A set of 12 audit standards were developed and used to collect data across 29 clinical areas between September 2022 and May 2023, with 255 patients receiving IV fluids at any time during their inpatient stay included.
UNASSIGNED: For two standards target adherence of 95% was achieved, with an adherence less than 50% in most. Areas of particularly poor adherence included assessing and meeting fluid and electrolyte requirements, patient reassessment and developing IV fluid management plans.
UNASSIGNED: Trust baseline adherence to NICE CG174 requires improvement, particularly regarding patient assessment and reassessment, and meeting electrolyte requirements.
摘要：
基金会的医生和护士是参与液体评估最密切的临床医生，静脉（IV）液体处方和给药。然而,两组都报告了静脉输液方面的挑战.在英国的NHS大型信托基金中，遵守美国国家健康与护理卓越研究所（NICE）关于静脉输液的CG174指南，基本上是未知的。
■为了评估基线依从性，在医院里，CG174并确定需要改进的地方。
■在2022年9月至2023年5月期间，制定了一套12项审核标准，用于收集29个临床领域的数据，其中包括255名患者在住院期间的任何时间接受静脉输液。
■对于两个标准，达到了95%的目标依从性，在大多数情况下，依从性低于50%。附着力特别差的区域包括评估和满足流体和电解质要求，患者重新评估和制定静脉输液管理计划。
■NICECG174的信任基线依从性需要改进，特别是关于患者评估和重新评估，并满足电解质的要求。
■为了评估基线依从性，在医院里，CG174并确定需要改进的地方。
■在2022年9月至2023年5月期间，制定了一套12项审核标准，用于收集29个临床领域的数据，其中包括255名患者在住院期间的任何时间接受静脉输液。
■对于两个标准，达到了95%的目标依从性，在大多数情况下，依从性低于50%。附着力特别差的区域包括评估和满足流体和电解质要求，患者重新评估和制定静脉输液管理计划。
■NICECG174的信任基线依从性需要改进，特别是关于患者评估和重新评估，并满足电解质的要求。
