North Jennifer C, Jordan Kristine C, Metos Julie, Hurdle John F
Division of Nutrition, University of Utah, Salt Lake City, Utah, United States.
Department of Biomedical Informatics, University of Utah, Salt Lake City, Utah, United States.
AMIA Annu Symp Proc. 2015 Nov 5;2015:963-72. eCollection 2015.
Nutrition care and metabolic control contribute to clinical patient outcomes. Biomedical informatics applications represent a way to potentially improve quality and efficiency of nutrition management. We performed a systematic literature review to identify clinical decision support and computerized provider order entry systems used to manage nutrition care. Online research databases were searched using a specific set of keywords. Additionally, bibliographies were referenced for supplemental citations. Four independent reviewers selected sixteen studies out of 364 for review. These papers described adult and neonatal nutrition support applications, blood glucose management applications, and other nutrition applications. Overall, results indicated that computerized interventions could contribute to improved patient outcomes and provider performance. Specifically, computer systems in the clinical setting improved nutrient delivery, rates of malnutrition, weight loss, blood glucose values, clinician efficiency, and error rates. In conclusion, further investigation of informatics applications on nutritional and performance outcomes utilizing rigorous study designs is recommended.
营养护理和代谢控制有助于改善患者的临床结局。生物医学信息学应用是一种潜在的提高营养管理质量和效率的方法。我们进行了一项系统的文献综述，以确定用于管理营养护理的临床决策支持和计算机化医嘱录入系统。使用一组特定的关键词搜索在线研究数据库。此外，还参考了参考文献以获取补充引用。四位独立评审员从364项研究中选出16项进行评审。这些论文描述了成人和新生儿营养支持应用、血糖管理应用以及其他营养应用。总体而言，结果表明计算机化干预有助于改善患者结局和医护人员的工作表现。具体而言，临床环境中的计算机系统改善了营养输送、营养不良发生率、体重减轻、血糖值、临床医生效率和错误率。总之，建议利用严谨的研究设计对信息学应用在营养和工作表现结局方面进行进一步研究。
