Document Detail


Development and implementation of an audit tool for quality control of parenteral nutrition.
MedLine Citation:
PMID:  19605804     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The aim of this article is to describe the development of a quality control methodology applied to patients receiving parenteral nutrition (PN) and to present the results obtained over the past 10 years. Development of the audit tool: In 1995, a total of 13 PN quality criteria and their standards were defined based on literature and past experiences. They were applied during 5 different 6-month audits carried out in subsequent years. According to the results of each audit, the criteria with lower validity were eliminated, while others were optimized and new criteria were introduced to complete the monitoring of other areas not previously examined. Currently, the quality control process includes 22 quality criteria and their standards that examine the following 4 different areas: (1) indication and duration of PN; (2) nutrition assessment, adequacy of the nutrition support, and monitoring; (3) metabolic and infectious complications; and (4) global efficacy of the nutrition support regimen. The authors describe the current definition of each criterion and present the results obtained in the 5 audits performed. In the past year, 9 of the 22 criteria reached the predefined standards. The areas detected for further improvements were: indication for PN, nutrition assessment, and management of catheter infections.
CONCLUSIONS: The definition of quality criteria and their standards is an efficient method of providing a qualitative and quantitative analysis of the clinical care of patients receiving PN. It detects areas for improvement and assists in developing a methodology to work efficiently.
Authors:
Sonsoles García-Rodicio; Celia Abajo; Mercedes Godoy; Miguel Angel Catalá
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition     Volume:  24     ISSN:  0884-5336     ISO Abbreviation:  Nutr Clin Pract     Publication Date:    2009 Aug-Sep
Date Detail:
Created Date:  2009-07-16     Completed Date:  2009-10-01     Revised Date:  2013-05-20    
Medline Journal Info:
Nlm Unique ID:  8606733     Medline TA:  Nutr Clin Pract     Country:  United States    
Other Details:
Languages:  eng     Pagination:  500-7     Citation Subset:  IM; N    
Affiliation:
Hospital Rio Hortega, Pharmacy Service, Dulzaina 2, Valladolid, Spain. sonsgaro@yahoo.es
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Humans
Medical Audit / methods*
Middle Aged
Parenteral Nutrition / methods,  standards*
Pharmacy Service, Hospital
Practice Guidelines as Topic
Program Evaluation
Quality Assurance, Health Care / methods*
Quality Control
Spain
Young Adult
Comments/Corrections
Comment In:
Nutr Clin Pract. 2010 Apr;25(2):221-2; author reply 223   [PMID:  20413704 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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