Poor performance of mandatory nutritional screening of in-hospital patients
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Poor performance of mandatory nutritional screening of in-hospital patients. / Geiker, Nina Rica Wium; Larsen, Sisse Marie Hørup; Stender, Steen; Astrup, Arne.
I: Clinical Nutrition, Bind 31, Nr. 6, 2012, s. 862-867.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Poor performance of mandatory nutritional screening of in-hospital patients
AU - Geiker, Nina Rica Wium
AU - Larsen, Sisse Marie Hørup
AU - Stender, Steen
AU - Astrup, Arne
N1 - IHE 2012 032
PY - 2012
Y1 - 2012
N2 - Background & aims: Since 2006 it has been mandatory at Copenhagen University Hospital Gentofte to screen all patients for nutritional risk within 24 h of admittance. Audits conducted by department staff estimate that 70-80% of assessments are correctly executed, but the validity of this estimate is unknown.The aim of the present study was to discover the true proportion of hospitalized patients receiving nutritional risk screening within the stipulated time limit and to evaluate the validity of the screening by comparison with medical records.Methods: Retrospective examination of medical records of all patients (N ¼ 3278) hospitalized in September 2008 in 11 different medical specialities were analysed in 2009e2010.Results: Of 2393 medical records 24% of the patients were screened, of these only 65% were screened within the stipulated time limit. Half of the conducted screenings were inaccurate, the most common error being underestimation of nutritional status. Forty-six percent of patients required a secondarynutritional risk screening and 30% were found to be nutritionally at risk.Conclusion: Only 8% of patients received the mandatory nutritional risk screening without procedural errors. We conclude that pre-scheduled, self-conducted audits are not viable as the basis of an assessment of the use of nutritional risk screening.
AB - Background & aims: Since 2006 it has been mandatory at Copenhagen University Hospital Gentofte to screen all patients for nutritional risk within 24 h of admittance. Audits conducted by department staff estimate that 70-80% of assessments are correctly executed, but the validity of this estimate is unknown.The aim of the present study was to discover the true proportion of hospitalized patients receiving nutritional risk screening within the stipulated time limit and to evaluate the validity of the screening by comparison with medical records.Methods: Retrospective examination of medical records of all patients (N ¼ 3278) hospitalized in September 2008 in 11 different medical specialities were analysed in 2009e2010.Results: Of 2393 medical records 24% of the patients were screened, of these only 65% were screened within the stipulated time limit. Half of the conducted screenings were inaccurate, the most common error being underestimation of nutritional status. Forty-six percent of patients required a secondarynutritional risk screening and 30% were found to be nutritionally at risk.Conclusion: Only 8% of patients received the mandatory nutritional risk screening without procedural errors. We conclude that pre-scheduled, self-conducted audits are not viable as the basis of an assessment of the use of nutritional risk screening.
U2 - 10.1016/j.clnu.2012.03.006
DO - 10.1016/j.clnu.2012.03.006
M3 - Journal article
C2 - 22531501
VL - 31
SP - 862
EP - 867
JO - Clinical Nutrition
JF - Clinical Nutrition
SN - 0261-5614
IS - 6
ER -
ID: 38173627