Fluid therapy rates in dehydrated patients 

In 2025, the team at Vets Now Bristol were recognised for their audit to investigate whether fluid therapy rates for dehydrated patients were being calculated according to current guidelines. After implementing changes, fluid rates for dehydrated patients were calculated according to published guidelines in 87% of cases, with fluid therapy rates tailored according to the patient’s unique needs, reducing the likelihood of fluid overload and potentially shortening their hospital stay due to hydration being replaced at a more appropriate rate.

Key takeaways

• Marked improvement in guideline use: The audit revealed that before intervention, only 23% of dehydrated patients had fluid therapy rates calculated according to guidelines. After implementing targeted changes, this figure rose dramatically to 87%. This improvement highlights the effectiveness of the audit process in identifying gaps in clinical practice and driving meaningful change.
• Practical resources and training enabled change: To support the team in applying the guidelines, a poster resource was created and placed in a central area of the clinic. It included dehydration assessment criteria, recommended fluid rates, and calculation formulas. Alongside this, staff received training and clear role assignments, which helped overcome barriers such as time pressure, unfamiliarity with guidelines, and difficulty performing calculations.
• Team engagement is central to success: The audit’s success was largely due to active team involvement. Team members participated in planning meetings, data collection, and discussions around implementation. Responsibilities were shared between veterinary surgeons and nurses, and this collaborative approach fostered a positive working environment.
• Clinical audit as a continuous improvement tool: This project demonstrates how clinical audit serves as a structured method for improving care quality. By measuring current practice, implementing evidence-based changes, and re-auditing, the team achieved better compliance and patient safety.

Download the PDF and read the case example to get deeper insights into the methods and outcomes, and to apply these strategies in your own practice to enhance patient safety and care.