Standards of practice: Nutritional quality assurance in acute-care hospitals
1981
Development and implementation of standards for quality assurance in health care and cost containment were pursued by the Denver Dietetic Association. Both process and outcome criteria were used to develop standards for: identification of referral systems; assessment and documentation of patient needs; and development and implementation of a nutrition care plan in acute-care hospitals. The first study was comprised of a review of 294 medical charts by DDA committee members; the second study involved review of 267 charts by 14 registered dietitians. A follow-up after 12 months involved 252 case reviews by dietitians. In study 1, the interpretation of cases according to the established criteria contained many discrepancies; criteria revisions were made which resulted in improved documentation in study 2, except for implementation of care plans. The follow-up study showed that a much larger percentage of chart entries met the standards for the revised criteria, indicating that documentation by dietitians had improved in all aspects of nutritional care plans. (cj)
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