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Development and implementation of an audit tool for quality control of parenteral nutrition

Sonsoles García-Rodicio1, Celia Abajo, Mercedes Godoy

  • 1Hospital Rio Hortega, Pharmacy Service, Dulzaina 2, Valladolid, Spain. sonsgaro@yahoo.es

Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition
|July 17, 2009
PubMed

Insights

This study developed a quality control method for parenteral nutrition (PN) over 10 years. The methodology improved patient care by identifying key areas for enhancement in PN delivery.

Area of Science:

  • Clinical Nutrition
  • Quality Improvement
  • Healthcare Management

Background:

  • Parenteral nutrition (PN) requires robust quality control for optimal patient outcomes.
  • A decade-long initiative focused on developing and refining a PN quality control methodology.

Purpose of the Study:

  • To describe the evolution of a quality control methodology for patients receiving parenteral nutrition.
  • To present the results of 10 years of applying this quality control system.

Main Methods:

  • Defined 13 quality criteria in 1995, evolving to 22 criteria covering indication, assessment, complications, and efficacy.
  • Conducted 5 six-month audits to refine criteria based on validity and coverage.
  • Continuously optimized criteria and introduced new ones to enhance monitoring.

Main Results:

  • The quality control process now includes 22 criteria across four key areas of PN care.
  • In the most recent year, 9 out of 22 criteria met predefined standards.
  • Areas identified for improvement include PN indication, nutrition assessment, and catheter infection management.

Conclusions:

  • Establishing defined quality criteria and standards provides effective qualitative and quantitative analysis of PN clinical care.
  • This methodology successfully identifies areas needing improvement and supports efficient workflow development.
Abstract

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