Parenteral nutrition order form to improve dextrose and lipid use

Order Sets in Health Care: A Systematic Review of Their Effects

“…Chapman et al (6) also found a significant decrease in the time for patients to meet their caloric goals after implementation of their nutrition order forms. In contrast to these positive results, four studies found no significant difference in patients’ treatment outcomes before and after the use of order sets (7;8;17;24).…”

“…Results of the literature search are presented in Figure 1. Eighteen studies met inclusion criteria and were included in this review (1;2;4;6–11;14;15;17–19;21;22;24;26). It should be noted that the study by Micek et al (16) was initially identified as a eligible study, however, it was found to be a pilot study of that conducted by Thiel et al (22) with the same order set.…”

“…The conditions targeted by the order sets included cancer (9), diabetes (18;21), acute coronary disease (1;8;15), ischemic stroke (4), and chest pain (2), pneumonia (15;19), chronic obstructive pulmonary disease (19), asthma and status asthmaticus (7;26), sepsis (22), febrile neutropenia (19), soft tissue infection (19), urinary tract infection (19), upper gastrointestinal bleeding (19), and anemia (11). Studies also involved patients requiring withdrawal of life support (24), receiving mechanical ventilation (14), or requiring enteral or parenteral nutritional support (6;17). One study used general order sets that targeted all patients (19).…”

“…Only two studies clearly stated that the order set was applied to all patients in the intervention arm (9;21). In most studies, order set usage was optional and monitored, but several of the studies neither mandated nor measured adoption (4;6;8;14;17;22).…”