是否存在差异？比较肠内营养记录与肠内营养泵输注量。
Is There a Discrepancy? Comparing Enteral Nutrition Documentation With Enteral Pump Volumes.
作者信息
Musillo Lisa, Grguric-Smith Laryssa Marie, Coffield Edward, Totino Karen, DiGiacomo Jody C
机构信息
1 Department of Food and Nutrition, Nassau University Medical Center, East Meadow, New York, USA.
2 Department of Health Professions, Hofstra University, Hempstead, New York, USA.
出版信息
Nutr Clin Pract. 2017 Apr;32(2):182-188. doi: 10.1177/0884533616664504. Epub 2016 Sep 25.
INTRODUCTION
Nutrition therapy is essential to the care of critically ill patients. Information that is used to calculate the differences between patients' nutrition prescription and actual provision may be flawed due to errors in manually recording the amount of enteral nutrition (EN) provided. This study's purpose was to evaluate the accuracy of the EN volume delivered as recorded in the electronic medical record (EMR) relative to the EN volume retrieved from the EN pump.
METHODS
This prospective, blinded, observational study occurred from June 2014 to April 2015 with a total of 218 patients. Patients were identified for the study based on their intensive care unit (ICU) admission and need for EN support. Patients were ICU patients receiving EN support.
RESULTS
The major result of this study was that 14% of patients' EN volumes were underdocumented and 26% were overdocumented.
CONCLUSION
These results support the need for a technological platform that directly transmits EN pump volumes in real time to the EMR.
引言
营养治疗对于重症患者的护理至关重要。由于人工记录肠内营养（EN）供给量时出现错误，用于计算患者营养处方与实际供给量之间差异的信息可能存在缺陷。本研究的目的是评估电子病历（EMR）中记录的EN输送量相对于从EN泵获取的EN输送量的准确性。
方法
这项前瞻性、盲法观察性研究于2014年6月至2015年4月进行，共有218例患者。根据患者入住重症监护病房（ICU）及需要EN支持情况确定纳入研究对象。患者均为接受EN支持的ICU患者。
结果
本研究的主要结果是，14%的患者EN量记录不足，26%的患者记录过量。
结论
这些结果表明需要一个技术平台，将EN泵的输送量实时直接传输到EMR。
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