{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T02:50:14Z","timestamp":1792205414527,"version":"4.4.0"},"reference-count":45,"publisher":"MDPI AG","issue":"18","license":[{"start":{"date-parts":[[2024,9,18]],"date-time":"2024-09-18T00:00:00Z","timestamp":1726617600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Australian Government Research Training Program Scholarship"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background\/Objectives: Conventional oxygen therapy (COT) is the cornerstone of management for hypoxaemia associated with acute respiratory failure (ARF) in wards. COT implementation guidance is provided in local health guidance documents (LHGDs). This study aimed to identify ward-delivered adult COT implementation LHGDs in Australian health services and assess their content and accuracy. Methods: A scoping review was conducted on 1 May 2022 and updated on 19 December 2023 to identify public health services COT LHGDs. Data were extracted and analysed regarding COT initiation, monitoring, maintenance and weaning, and management of clinical deterioration. Results: Thirty-seven included LHGDs, and eleven referenced the Australian COT guidelines. A definition in the LHGDs for hypoxaemia is that any oxygen saturation (SpO2) or arterial blood gas (ABG) is rare. None required ABG prior to COT initiation. Twenty-nine provided target SpO2 aims for initiation and maintenance. Fifteen did not specify the criteria for clinical review. Nine LHGDs provided guidance on weaning. Conclusions: There was considerable variation in the structure and content of COT LHGDs in Australian health services. Variations and limited guideline concordance of LHGDs may impact the quality and safety of health care. Considerations for future research include the development and implementation of standardised core LHGD recommendations for COT, as well as conducting a national oxygen audit to better measure and benchmark the safety and quality of care.<\/jats:p>","DOI":"10.3390\/jcm13185506","type":"journal-article","created":{"date-parts":[[2024,9,18]],"date-time":"2024-09-18T09:49:19Z","timestamp":1726652959000},"page":"5506","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Implementing Oxygen Therapy in Medical Wards\u2014A Scoping Review to Understand Health Services Protocols and Procedures"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4071-2187","authenticated-orcid":false,"given":"Catherine","family":"Buchan","sequence":"first","affiliation":[{"name":"Department of Respiratory Medicine, The Alfred Health, 55 Commercial Road, Melbourne, VIC 3004, Australia"},{"name":"Respiratory Research@Alfred, School of Translational Medicine, The Alfred Centre, Monash University, Melbourne, VIC 3004, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5434-9342","authenticated-orcid":false,"given":"Yet Hong","family":"Khor","sequence":"additional","affiliation":[{"name":"Respiratory Research@Alfred, School of Translational Medicine, The Alfred Centre, Monash University, Melbourne, VIC 3004, Australia"},{"name":"Department of Respiratory and Sleep Medicine, Austin Health, Heidelberg, VIC 3084, Australia"},{"name":"Institute for Breathing and Sleep, Heidelberg, VIC 3084, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-6748-6508","authenticated-orcid":false,"given":"Toby","family":"Thomas","sequence":"additional","affiliation":[{"name":"Melbourne Medical School, University of Melbourne, Grattan St and Royal Pde, Melbourne, VIC 3052, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3403-3586","authenticated-orcid":false,"given":"Natasha","family":"Smallwood","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine, The Alfred Health, 55 Commercial Road, Melbourne, VIC 3004, Australia"},{"name":"Respiratory Research@Alfred, School of Translational Medicine, The Alfred Centre, Monash University, Melbourne, VIC 3004, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,9,18]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1016\/j.ccc.2023.12.001","article-title":"Diagnosis and Epidemiology of Acute Respiratory Failure","volume":"40","author":"Chen","year":"2024","journal-title":"Crit. 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