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  1. The Five-Year Evolution of a Malnutrition Treatment Program in a Community Hospital.

    Article - En anglais

    Background 

    Studies suggest that 30% - 55% of hospitalized patients are at risk for malnutrition, an avoidable comorbidity contributing to increases in hospitalization and readmission, length of stay, complications, and mortality.

    Yet a variety of issues have impeted many hospitals'implementation of effective nutrition intervention programs.

    Benchmarking study 

    St Francis Hospital (SFH), a 395-bed community acute care facility in Wilmington, Delaware, participated in a nationwide benchmark study in fall 1993.

    In comparison with the 12-hospital means, data for SFH showed both delays in initiating a nutrition care plan for acutely ill patients and a significantly higher risk for malnutrition.

    Nutrition screening pilot : A pilot study was implemented in 1994 to identify nutrition needs within 48 hours of admission as a first step in the improvement process.

    Although interventions occured earlier for a greater number of high-risk patients, nutrition intervention was not being provided in a uniform and timely manner.

    The malnutrition clinical pathway : A free-standing hospital committee, the Nutrition Care Committee (NCC), with guidance from the care management department, began developing a malnutrition pathway that would serve as an integrated plan for providing nutrition care to high-risk patients. (...)

    Mots-clés Pascal : Malnutrition, Carence alimentaire, Trouble nutrition, Maladie, Hôpital, Stratégie, Méthodologie, Temps séjour, Gestion hospitalière, Aide décision, Indicateur, Organisation hospitalière

    Mots-clés Pascal anglais : Malnutrition, Nutritional deficiency, Nutrition disorder, Disease, Hospital, Strategy, Methodology, Residence time, Hospital management, Decision aid, Indicator, Hospital organization

    Notice produite par :
    ORS Auvergne - Observatoire Régional de la Santé d'Auvergne

    Code Inist : 002B30A11. Création : 06/10/1999.