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Standards of the nutritional support process in Spain - Towards benchmarking
Tomás Martín-Folgueras1, Alfonso Vidal-Casariego2, Néstor Benítez-Brito3
1Hospital Universitario de Canarias.
Nutricion Hospitalaria
|April 19, 2021
Summary
Quality indicators for artificial nutrition in Spain were assessed. Five of eight indicators met standards, showing high-quality care, with recommendations for routine practice.
Area of Science:
- Clinical Nutrition
- Healthcare Quality Improvement
Background:
- Quality indicators for clinical nutrition stages exist in Spain.
- Lack of established, practical standards for artificial nutrition based on daily practice.
Purpose of the Study:
- To propose quality indicator standards for routine artificial nutrition in clinical practice.
- Establish feasible and relevant benchmarks for artificial nutrition care.
Main Methods:
- Multicenter, cross-sectional study conducted in 2018-2019.
- Survey of health professionals in clinical nutrition on eight quality criteria.
- Assessment of process fulfillment against proposed theoretical standards.
Main Results:
- Fifteen Spanish centers were evaluated.
- Five of eight quality indicators met or exceeded theoretical standards.
- One indicator, hyperglycemia in parenteral nutrition patients, was significantly below standard (15.7% vs. 5% target).
Conclusions:
- Artificial nutrition administration in Spanish hospitals demonstrates a high level of quality.
- Proposed standards for artificial nutrition are based on daily clinical practice.
- Identified areas for improvement, particularly in managing hyperglycemia during parenteral nutrition.
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