Follow‐Up Survey on Functionality of Nutrition Documentation and Ordering Nutrition Therapy in Currently Available Electronic Health Record Systems

Vanek, Vincent W.; Ayers, Phil; Charney, Pamela; Kraft, Michael D.; Mitchell, Ronelle; Plogsted, Steven; Soden, Jason; Way, Charles W. Van; Wessel, Jacqueline; Winter, John; Kent, Sue; Turner, Peggy; Bouche, Jean M.; Donna, Quirk,; Seidner, Douglas L.

doi:10.1177/0884533616629619

Cited by 20 publications

(29 citation statements)

References 32 publications

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“…Easy access to nutrition assessment data and outcome measures is an essential part of this process. In this survey, 97% of the respondents reported use of an EHR in some way (86% fully electronic and 11% a blend of electronic and paper documentation), which is an increase from a 2014 ASPEN survey where 90%–94% of clinicians used an EHR . Retrieving relevant documentation to validate the Academy/ASPEN malnutrition characteristics may be challenging due to the way clinical data are documented.…”

Section: Discussionmentioning

confidence: 96%

Hospital Nutrition Assessment Practice 2016 Survey

et al. 2018

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Section: Discussionmentioning

confidence: 96%

Hospital Nutrition Assessment Practice 2016 Survey

et al. 2018

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“…Unfortunately, adoption of EHRs and CDS to improve safety of the PN process has been limited. In recent surveys, only 33%–63% of respondents reported using an electronic order for PN and only 50%–54% utilized dosing guidelines and CDS built into the system . Furthermore, only about 28% of respondents reported that they had an automatic interface between the EHR and ACD at their institution …”

Section: Opportunities For Optimizing the Ehr In The Pn Workflowmentioning

confidence: 99%

A Call to Action for Optimizing the Electronic Health Record in the Parenteral Nutrition Workflow

et al. 2018

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Parenteral nutrition (PN) is a complex therapeutic modality provided to neonates, children, and adults for various indications. Surveys have shown that current electronic health record (EHR) systems are in need of functionality enhancement for safe and optimal delivery of PN. This is a consensus statement from the American Society for Parenteral and Enteral Nutrition, the Academy of Nutrition and Dietetics, and the American Society of Health-System Pharmacists outlining some of the key challenges to prescribing, order review/verification, compounding, and administration of PN using EHRs today and is a call to action for clinicians and vendors to optimize their EHRs regarding the PN build and workflow.

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“…The electronic medical record (EMR) allows clinicians to access data about nutrition anthropometrics, medical and surgical history, nutrition access devices, biochemical test results, and nutrition programs. However, surveys have noted a significant need for improvement of nutrition content in available EMRs, prompting a call to action to nutrition support clinicians and societies to work collaboratively with vendors 94 . For 20 years, we have used an EMR that integrates into 1 report computerized data from laboratory, microbiology, radiology, and operative report sources, along with nutrition anthropometrics and PN pharmacy data.…”

Section: Electronic Medical Recordmentioning

confidence: 99%

Management of Parenteral Nutrition in Hospitalized Adult Patients

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Hurley

et al. 2016

J Parenter Enteral Nutr

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Despite the high prevalence of malnutrition in adult hospitalized patients, surveys continue to report that many clinicians are undertrained in clinical nutrition, making targeted nutrition education for clinicians essential for best patient care. Clinical practice models also continue to evolve, with more disciplines prescribing parenteral nutrition (PN) or managing the cases of patients who are receiving it, further adding to the need for proficiency in general PN skills. This tutorial focuses on the daily management of adult hospitalized patients already receiving PN and reviews the following topics: (1) PN basics, including the determination of energy and volume requirements; (2) PN macronutrient content (protein, dextrose, and intravenous fat emulsion); (3) PN micronutrient content (electrolytes, minerals, vitamins, and trace elements); (4) alteration of PN for special situations, such as obesity, hyperglycemia, hypertriglyceridemia, refeeding, and hepatic/renal disease; (5) daily monitoring and adjustment of PN formula; and (6) PN-related complications (PN-associated liver disease and catheter-related complications).

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Follow‐Up Survey on Functionality of Nutrition Documentation and Ordering Nutrition Therapy in Currently Available Electronic Health Record Systems

Cited by 20 publications

References 32 publications

Hospital Nutrition Assessment Practice 2016 Survey

Hospital Nutrition Assessment Practice 2016 Survey

A Call to Action for Optimizing the Electronic Health Record in the Parenteral Nutrition Workflow

Management of Parenteral Nutrition in Hospitalized Adult Patients

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