Consensus Recommendations for Optimizing Electronic Health Records for Nutrition Care

被引：15

作者：

Kight, Cassandra E. ^{[1
]}

Bouche, Jean M. ^{[2
]}

Curry, Angie ^{[3
]}

Frankenfield, David ^{[2
]}

Good, Katy ^{[3
]}

Guenter, Peggi ^{[1
]}

Murphy, Brian ^{[3
]}

Papoutsakis, Constantina ^{[2
]}

Richards, Emily Brown ^{[1
]}

Vanek, Vincent W. ^{[1
]}

Wilk, Deanne ^{[3
]}

Wootton, Amy ^{[2
]}

机构：

[1] Amer Soc Parenteral & Enteral Nutr, 8401 Colesville Rd,Suite 510, Silver Spring, MD 20910 USA

[2] Acad Nutr & Dietet, Chicago, IL USA

[3] Assoc Clin Documentat Improvement Specialists, Middleton, MA USA

来源：

NUTRITION IN CLINICAL PRACTICE | 2020年 / 35卷 / 01期

关键词：

electronic health records; malnutrition; nutrition assessment; nutrition care; nutrition screening; MALNUTRITION; DOCUMENTATION; IDENTIFICATION; INDICATORS; STATEMENT; ACADEMY; SOCIETY; SAFETY; MODEL;

D O I：

10.1002/ncp.10433

中图分类号：

R15 [营养卫生、食品卫生]; TS201 [基础科学];

学科分类号：

100403 ;

摘要：

Provision of nutrition care is vital to the health and well-being of any patient who enters the health care system, whether in the ambulatory, inpatient, or long-term care setting. Interdisciplinary professionals-nurses, physicians, advanced practice providers, pharmacists, and dietitians-identify and treat nutrition problems or clinical conditions in each of these health care settings. The documentation of nutrition care in a structured format from screening and assessment to discharge allows communication of the nutrition treatment plans. The goal of this document is to provide recommendations to clinicians for working with an organization's Information Systems department to create tools for documentation of nutrition care in the electronic health record. These recommendations can also serve as guidance for health care organizations choosing and implementing health care software.

引用

页码：12 / 23

页数：12

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