Analyze and simulate an individualized nutritional computing system for multidisciplinary teams in nutritional...

Area of Science:

• Clinical Nutrition
• Health Informatics
• Pharmacist-led Interventions

Background:

• Nutritional support therapy requires efficient and rational processes.
• Optimizing nutrition risk screening and the administration of enteral (EN) and parenteral nutrition (PN) is crucial for patient outcomes.
• Multidisciplinary teams (MDT) play a key role in managing nutritional support.

Purpose of the Study:

• To evaluate the efficiency and rationality of nutritional support therapy.
• To assess the impact of an individualized nutritional computing system and pharmacist intervention on treatment processes.
• To compare nutritional support practices before and after intervention in pilot departments.

Main Methods:

• Development and implementation of an individualized nutritional computing system by pharmacists.
• Intervention by MDT members trained on the system for nutritional support therapy.
• Comparative analysis of nutrition risk screening, EN, and PN use in Radiation Oncology and ICU before and after intervention.

Main Results:

• The nutritional computing system improved work efficiency, saving 10-15 minutes per patient.
• In Radiation Oncology, Total Nutrient Admixture (TNA) use increased by 7.17%, and PN single-bottle infusion decreased by 17.94% in malnourished patients.
• In ICU, EN and TNA use increased by 12.79% and 12.14% respectively, with a 10.06% decrease in PN single-bottle infusion.

Conclusions:

• A streamlined, mobile MDT approach, coupled with an individualized nutritional computing system and pharmacist involvement, significantly enhances nutritional support therapy.
• The intervention improved the efficiency and rationality of nutrition risk screening and the utilization of EN and PN.
• Pharmacist-led technological integration optimizes multidisciplinary nutritional care delivery.