Follow-up Survey on Functionality of Nutrition Documentation and Ordering Nutrition Therapy in Currently Available Electronic Health Record (EHR) Systems.
【作 者】Ayers PVan Way CW 3rdSoden JWinter JBouche JVanek VWCharney PKent SWessel JTurner PSeidner DL.Plogsted SQuirk DKraft MMitchell R
【作者单位】AcademyClinical Nutrition Informatics Committee, Clinical Systems Analyst, Center for Human Nutrition, Cleveland Clinic, Cleveland, Ohio, USA. 12 Academy NIC, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA. 13 Academy NIC, Hospital Sisters Health System Eastern Wisconsin Division, Green Bay, WI, USA. 14 Chair, Academy NIC Interoperability Standards Committee, Lexington Medical Center, West Columbia, South Carolina, USA. 15 American Society for Nutrition, Nutrition Education Committee, Vanderbilt University Medical Center, Nashville, Tennessee, USA.Nutrition Informatics CommitteeA.S.P.E.N., St Elizabeth Youngstown Hospital, Youngstown, Ohio, USA vince_vanek@mercy.com. 2 A.S.P.E.N. CNIS, Mississippi Baptist Medical Center, Jackson, Mississippi. 3 A.S.P.E.N. CNIS, Bellevue College, Bellevue, Washington. 4 A.S.P.E.N. CNIS, University of Michigan, Ann Arbor, Michigan, USA. 5 A.S.P.E.N. CNIS, Cleveland Clinic, Cleveland, Ohio, USA. 6 A.S.P.E.N. CNIS, Nationwide Children's Hospital, Columbus, Ohio, USA. 7 A.S.P.E.N. CNIS, University of Colorado School of Medicine, Aurora, Colorado, USA. 8 A.S.P.E.N. CNIS, University of Missouri, Kansas City, Missouri, USA. 9 A.S.P.E.N. CNIS, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA. 10 A.S.P.E.N. CNIS, Director of Informatics, Central Admixture Pharmacy Services, Puyallup, Washington, USA. 11 Academy of Nutrition and DieteticsCNIS1 American Society for Parenteral and Enteral NutritionNIC
【摘 要】 BACKGROUND: This is a follow-up survey to reassess the safety and efficacy of nutrition content in the available electronic health record (EHR) systems. MATERIALS AND METHODS: Members of the American Society for Parenteral and Enteral Nutrition (A.S.... 更多 >> BACKGROUND: This is a follow-up survey to reassess the safety and efficacy of nutrition content in the available electronic health record (EHR) systems. MATERIALS AND METHODS: Members of the American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.), American Society for Nutrition, and the Academy for Nutrition and Dietetics were asked to participate in an online survey. The survey included questions from a 2012 EHR survey on the safety and efficacy in 5 nutrition content areas as well as questions from previous 2003 and 2011 A.S.P.E.N. parenteral nutrition (PN) surveys. RESULTS: Percent of respondents using an EHR and using the EHR for less than 1 year increased between 2012 and 2014 (86%-94%, P < .05; 11%-16%, P < .05, respectively). However, there was no improvement in the safety and efficacy of the 5 nutrition content areas, with a significant decrease in 2 of these areas, ordering oral nutrition supplements and ordering PN. The top-rated EHR vendors had a higher average favorable response rate in regards to safety and efficacy in the nutrition content areas but even the top-rated EHR vendor had only a 60% average in favorable responses. Reported use of electronic PN ordering and a direct interface between the EHR and the automated compounding device (ACD) significantly increased from 2003 to 2011 to 2014 (29% to 33% to 63% and 16% to 19% to 28%, respectively, P < .05). CONCLUSIONS: This is a call to action to nutrition support clinicians, societies, and organizations to proactively be involved in initiatives to educate clinicians and collaborate with EHR vendors to enhance the EHR systems to improve the safety and efficacy of providing nutrition therapy in hospitalized patients. << 收起
