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[医院喂养的标准化]

[Standardization of hospital feeding].

作者信息

Caracuel García Ángel Manuel

机构信息

Unidad de Gestión Clínica Intercentros de Endocrinología y Nutrición. Hospital Universitario Regional de Málaga. Servicio Andaluz de Salud, Junta de Andalucía. Cocina Central. Málaga. España..

出版信息

Nutr Hosp. 2015 May 7;31 Suppl 5:41-7. doi: 10.3305/nh.2015.31.sup5.9130.

Abstract

INTRODUCTION

Normalization can be understood as the establishing measures against repetitive situations through the development, dissemination, and application of technical design documents called standards. In Andalusia there are 45 public hospitals with 14,606 beds, and in which 11,700 full pensions / day are served. The Working Group on Hospital Food Standardization of the Andalusian Society for Clinical Nutrition and Dietetics, started in 2010, working on the certification of suppliers, product specifications, and meals technical card.

AIMS

  • Develop a specific tool to help improving food safety through the certification of their suppliers. - Develop a standardized technical specifications of foodstuffs necessary for the development of menus established codes diets Andalusian hospitals document. - Develop a catalog of data sheets plates of hospital meals, to homogenize menus, respecting local and unifying criteria for qualitative and quantitative ingredients.

METHODS

  • Providing documentation and studying of several public hospitals in Andalusia: • Product specifications and certification of suppliers. • International standards certification and distribution companies. • Legislation. • Data sheets for the menu items. • Specifications of different product procurement procedures. - Development of the draft standard HOSPIFOOD®, and approval of the version “0.0”. - Training course for auditors to this standard. - Development of a raw materials catalog as technical cards. - Meals Technical cards review and election of the ones which will be part of the document.

RESULTS

After nearly three years of work, we have achieved the following products: - Standardized database of technical specifications for the production of food dietary codes for: fish, seafood, meat and meat products, meats and pates, ready meals, bread and pastries, preserves, milk and dairy products, oils, cereals, legumes , vegetables, fruits, fresh and frozen vegetables, condiments and spices. - Standardized database of technical cards for meals containing the following data: SAS Code, Province, Hospital, name plate, ingredients (g), edible ingredients (g) kcal, Proteins, HC, Fat and Fiber. - HOSPIFOOD® standard certification for food providers in hospitals, school cafeterias and other institutions of social restoration.

CONCLUSION

Patients expect food that is offered during the stay in the hospital, meet basic standards of quality and safety, and therefore it is necessary to design and develop control systems from the award and / or acquisition of food (raw materials and finished) products which subsequently become part of the menu that is offered as part of their treatment. To avoid the effect of fraudulent practice in public health, it’s needed to ensure the quality and safety of the food from the origin and establish the standards for acquisition and subsequent use of it.

摘要

引言

标准化可理解为通过制定、传播和应用称为标准的技术设计文件来建立应对重复情况的措施。在安达卢西亚有45家公立医院,共14606张床位,每天提供11700份全餐。安达卢西亚临床营养与饮食学会医院食品标准化工作组于2010年成立,致力于供应商认证、产品规格和膳食技术卡片的工作。

目的

  • 开发一种特定工具,通过对供应商进行认证来帮助提高食品安全。- 制定标准化的食品技术规格,以用于制定安达卢西亚医院饮食代码菜单的既定标准文件。- 编制医院膳食餐盘数据表目录,以使菜单同质化,同时尊重当地标准并统一定性和定量食材的标准。

方法

  • 提供文件并研究安达卢西亚的几家公立医院:• 产品规格和供应商认证。• 国际标准认证和配送公司。• 法律法规。• 菜单项数据表。• 不同产品采购程序的规格。- 制定HOSPIFOOD®标准草案,并批准“0.0”版本。- 为该标准的审核员举办培训课程。- 编制原材料目录作为技术卡片。- 对膳食技术卡片进行审核并选择将纳入文件的卡片。

结果

经过近三年的工作,我们取得了以下成果:- 用于生产鱼类、海鲜、肉类及肉制品、肉类和肉酱、即食食品、面包和糕点、腌制食品、牛奶和奶制品、油类、谷物、豆类、蔬菜、水果、新鲜和冷冻蔬菜、调味品和香料等食品饮食代码的标准化技术规格数据库。- 包含以下数据的膳食技术卡片标准化数据库:SAS代码、省份、医院、餐盘名称、食材(克)、可食用食材(克)、千卡、蛋白质、碳水化合物、脂肪和纤维。- 针对医院、学校食堂和其他社会餐饮机构的食品供应商的HOSPIFOOD®标准认证。

结论

患者期望在住院期间提供的食物符合基本的质量和安全标准,因此有必要从食品(原材料和成品)的采购和/或获取阶段设计和开发控制系统,这些食品随后将成为作为治疗一部分提供的菜单的一部分。为避免在公共卫生方面出现欺诈行为的影响,需要从源头确保食品的质量和安全,并制定食品采购及后续使用的标准。

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