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Frequency of and Reasons for False-Positive Consults Generated by the Malnutrition Screening Tool
Alison Sturgill1, Kathy Stanczyk, Lori Crouch
1Department of Applied Health Sciences, Murray State University, Murray, Kentucky (Mss Sturgill and Crouch and Drs Stanczyk and Byrd); and Food and Nutrition Department, Emory University Hospital, Atlanta, Georgia (Ms Sturgill).
Background:
Nutrition screening on admission is one way to identify patients with malnutrition. The Malnutrition Screening Tool (MST) is a commonly used screening tool but has been found to generate false-positive consults.
Purpose:
The purpose of this research was two-fold: (1) to determine the percentage of nursing screens, using the MST, that generated a false-positive consult for a registered dietitian, and (2) to identify the reasons for these false-positive consults.
Methods:
During a 3-month period, registered dietitians documented the number of false-positive consults received from the MST and reasons they were received.
Results:
Of the registered dietitian consults generated, 5.5% were deemed false-positive. The most common reason for a false-positive consult was patient-reported weight loss that had resolved.
Conclusions:
As nurses are integral to completion of the MST, data generated can be used in ongoing education of nursing staff.
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