Implementation of the nutrition care process and international dietetics and nutrition terminology in a single-center hemodialysis unit: Comparing paper vs electronic records

Rossi, Megan, Campbell, Katrina Louise and Ferguson, Maree (2014) Implementation of the nutrition care process and international dietetics and nutrition terminology in a single-center hemodialysis unit: Comparing paper vs electronic records. Journal of the Academy of Nutrition and Dietetics, 114 1: 124-130. doi:10.1016/j.jand.2013.07.033


Author Rossi, Megan
Campbell, Katrina Louise
Ferguson, Maree
Title Implementation of the nutrition care process and international dietetics and nutrition terminology in a single-center hemodialysis unit: Comparing paper vs electronic records
Journal name Journal of the Academy of Nutrition and Dietetics
ISSN 2212-2672
2212-2680
Publication date 2014-01-01
Year available 2013
Sub-type Article (original research)
DOI 10.1016/j.jand.2013.07.033
Volume 114
Issue 1
Start page 124
End page 130
Total pages 7
Place of publication New York, United States
Publisher Elsevier
Language eng
Formatted abstract
There is little doubt surrounding the benefits of the Nutrition Care Process and International Dietetics and Nutrition Terminology (IDNT) to dietetics practice; however, evidence to support the most efficient method of incorporating these into practice is lacking. The main objective of our study was to compare the efficiency and effectiveness of an electronic and a manual paper-based system for capturing the Nutrition Care Process and IDNT in a single in-center hemodialysis unit. A cohort of 56 adult patients receiving maintenance hemodialysis were followed for 12 months. During the first 6 months, patients received the usual standard care, with documentation via a manual paper-based system. During the following 6-month period (Months 7 to 12), nutrition care was documented by an electronic system. Workload efficiency, number of IDNT codes used related to nutrition-related diagnoses, interventions, monitoring and evaluation using IDNT, nutritional status using the scored Patient-Generated Subjective Global Assessment Tool of Quality of Life were the main outcome measures. Compared with paper-based documentation of nutrition care, our study demonstrated that an electronic system improved the efficiency of total time spent by the dietitian by 13 minutes per consultation. There were also a greater number of nutrition-related diagnoses resolved using the electronic system compared with the paper-based documentation (P<0.001). In conclusion, the implementation of an electronic system compared with a paper-based system in a population receiving hemodialysis resulted in significant improvements in the efficiency of nutrition care and effectiveness related to patient outcomes.
Keyword Electronic medical record
Hemodialysis
International dietetic and nutrition terminology
Nutrition care process
Nutrition informatics
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Human Movement and Nutrition Sciences Publications
School of Medicine Publications
 
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