Tomás Martín Folgueras, Alfonso Vidal-Casariego, Néstor Benítez-Brito, Luis Miguel Luengo Pérez, Hegoi Segurola-Gurrutxaga, Cristina Velasco Gimeno, Rosa Burgos Peláez, Julia Álvarez-Hernández, José A. Irles-Rocamora
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Introduction: quality indicators have been proposed in Spain for assessing the various stages of clinical nutrition. However, reference standards for these indicators (feasible and relevant) based on daily practice of artificial nutrition are not available. Goals: the goal of this study was to propose quality indicators standards for their routine application to artificial nutrition in clinical practice. Material and methods: a multicenter, cross-sectional study—based on a survey applied to health professionals in the field of clinical nutrition—on the fulfilment of eight quality criteria was carried out during 2018 and 2019. The total number of processes and those that were correctly accomplished were assessed and compared with the corresponding proposed theoretical standard. Results: fifteen centers were assessed. Of eight indicators assessed, five were within the theoretical standard (correct identification of parenteral nutrition bags, semi-upright position of patients on enteral nutrition, administration of micronutrients in ready-to-use parenteral nutrition bags, checking placement of feeding tubes, and days with glycemia below 60 mg/dL). Two indicators were very close to the theoretical standard. One indicator, hyperglycemia in patients with parenteral nutrition, was far removed from its theoretical standard (15.7 % vs. 5 %). Conclusion: the administration of artificial nutrition in Spanish hospitals was performed with a high quality level. Therefore, standards based on daily clinical practice regarding artificial nutrition in Spain are proposed.
Palabras Clave: Quality indicators. Health care. Healthcare surveys. Nutrition therapy. Standards. Patient care team.
Mª José Sendrós Madroño
Mª Gloria Bueno Lozano
Claudia Georgiadis Lewandowski , Liane Esteves Daudt , Ana Maria Keller Jochims , Alessandra Paz , Elza Daniel de Mello
Michelli Cristina Silva de Assis , Andreia Barcellos Teixeira Macedo , Cláudia Hallal Alves Gazal , Célia Mariana Barbosa de Souza Martins , Luciana Verçoza Viana
Alicia Moreno Borreguero
Julia Álvarez Hernández
Erica Barreiro Domínguez , Raquel Sánchez Santos , Susana Diz Jueguen , Alexandra Piñeiro Teijeiro , Jaime Seoane Antelo , Esther Carrera Dacosta
Isabela Bernasconi José , Vania Aparecida Leandro-Merhi , José Luis Braga de Aquino , José Alexandre Mendonça
Leandro Silveira Monteiro da Silva , Haroldo Falcão Ramos da Cunha
José Ignacio Díaz-Pizarro Graf , Vanessa J. Kumpf , José Eduardo de Aguilar-Nascimento , Liam McKeever , Ezra Steiger , Marion F. Winkler , Charlene W. Compher
Jéssica Martínez Rodríguez , María Roca Fontbona
Javier Blasco-Alonso , Raquel Gil-Gómez , Ana García Ruiz , Marta Cortés Hernández , Guiomar Gutiérrez Schiaffino
Julia Álvarez Hernández
Raquel Stocker Pérsico , Oellen Stuani Franzosi
Stephan C. Bischoff , Johanna Escher , Xavier Hébuterne , Stanisław Kłęk , Zeljko Krznaric , Stéphane M. Schneider , Raanan Shamir , Kalina Stardelova , Nicolette Wierdsma , Anthony E. Wiskin , Alastair Forbes , Miguel Montoro , Rosa Burgos Peláez
Rodrigo Fernandes Weyll Pimentel , Arthur Pinto Silva , Amália Ivine Costa Santana , Douglas de Souza e Silva , Mariângela de Souza Ramos , Márcio Costa de Souza , Vivian Marques Miguel Suen , Isolda Padro de Negreiros Nogueira Maduro , Durval Ribas Filho , Argemiro D’Oliveira Júnior , Dandara Almeida Reis da Silva , Julita Maria Freitas Coelho , Antonio Marcos Tosoli Gomes , Paulo Roberto Lima Machado , Magno Conceição das Merces
Leandro Silveira Monteiro da Silva , Haroldo Falcão Ramos da Cunha
Jessica Alves de Paula , Claudio Luciano Franck , Sandra Regina Justino , Luíza Silva Leite , Odery Ramos Junior , Estela Iraci Rabito
Adriana Flores-López , Gabriela Quiroz-Olguin , Alejandro Gabriel González-Garay , Aurora E. Serralde-Zúñiga
Mónica Zúñiga González
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