J Acad Nutr Diet. 2019 Sep;119(9 Suppl 2):S25-S31. doi: 10.1016/j.jand.2019.05.024.
Malnutrition is a leading cause of morbidity and mortality, especially among older adults. However, diagnosis and treatment of malnutrition in the hospital setting are often overlooked. In recent years, quality improvement (QI) initiatives to increase the assessment and treatment of malnutrition in hospital settings have been implemented and shown to improve both patient health and economic outcomes. The Malnutrition Quality Improvement Initiative (MQii) Toolkit was designed in an effort to support hospitals seeking to implement malnutrition QI initiatives. The Toolkit has been implemented, studied, and updated for optimization of content, adaptability, and usability over several cycles of improvement from 2016-2017 at more than 50 hospital centers in the United States. The result is an open access, customizable, and user-friendly MQii Toolkit that can facilitate the implementation of malnutrition QI initiatives in individual facilities. This article introduces the MQii Toolkit, describes the process by which it was designed and improved, and orients clinical care teams to its use. FUNDING/SUPPORT: Publication of this supplement was supported by Abbott. The Academy of Nutrition and Dietetics does not receive funding for the MQii. Avalere Health's work to support the MQii was funded by Abbott.
营养不良是发病率和死亡率的主要原因，尤其是在老年人中。然而，医院环境中的营养不良诊断和治疗往往被忽视。近年来，为了增加医院环境中营养不良的评估和治疗，已经实施了质量改进 (QI) 计划，这些计划已被证明可以改善患者的健康和经济结果。营养不良质量改进倡议 (MQii) 工具包旨在支持寻求实施营养不良 QI 计划的医院。该工具包已在美国 50 多个医院中心实施、研究和更新，以优化内容、适应性和可用性，历经了几个周期的改进，从 2016 年至 2017 年。其结果是一个开放获取、可定制和用户友好的 MQii 工具包，可以促进单个设施中营养不良 QI 计划的实施。本文介绍了 MQii 工具包，描述了其设计和改进的过程，并为临床护理团队提供了使用指导。资金/支持：本增刊的出版得到了 Abbott 的支持。Academy of Nutrition and Dietetics 并未从 MQii 获得资金。Avalere Health 支持 MQii 的工作得到了 Abbott 的资助。
