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Adult Parenteral Nutrition Utilization at a Tertiary Care Hospital
Author(s) -
KohliSeth Roopa,
Sinha Rakesh,
Wilson Sara,
BassilyMarcus Adel,
Benjamin Ernest
Publication year - 2009
Publication title -
nutrition in clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.725
H-Index - 71
eISSN - 1941-2452
pISSN - 0884-5336
DOI - 10.1177/0884533609351529
Subject(s) - medicine , medical prescription , parenteral nutrition , enteral administration , incidence (geometry) , emergency medicine , pediatrics , intensive care medicine , nursing , physics , optics
Background: Guidelines from the American Society for Parenteral and Enteral Nutrition promote appropriate use of parenteral nutrition (PN). In addition, involvement of multidisciplinary nutrition support teams (NSTs) has led to a reduction of inappropriate PN administration. This study evaluated the effect of introducing hospital‐wide PN guidelines and a PN review committee on PN prescription behavior of NSTs in the authors’ hospital. Methods: A PN guidelines form with established indications was developed and made available to the NSTs. A PN review committee was formed to assess the appropriateness of PN prescriptions and educate the NSTs if an inappropriate PN prescription was noted. The initial‐phase PN prescriptions were compared with those in a later (established) phase. Results: Of a total of 614 PN prescriptions, 8.1% did not meet the established indications. The initial phase recorded 312 PN prescriptions, and the established phase had 302 prescriptions. The number of inappropriate PN prescriptions decreased significantly from 11.9% in the initial phase to 4.3% in the established phase ( P = .001). Conclusion: The incidence of inappropriate PN prescription was low when NSTs were closely involved in patient care. Availability of written guidelines and continuous oversight of NSTs promoted appropriate PN usage.