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Related Concept Videos

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Related Experiment Video

Updated: Jun 14, 2025

'Boden Food Plate': Novel Interactive Web-based Method for the Assessment of Dietary Intake
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Noninterruptive tool to support provider malnutrition documentation and minimize documentation queries.

Kevin O'Malley1, Patricia Dasch2, Sarah C Bauer3

  • 1Department of Medicine, Johns Hopkins University, Baltimore, MD 21287, United States.

JAMIA Open
|May 22, 2025
PubMed
Summary

An electronic malnutrition documentation tool significantly reduced queries for malnutrition in adult internal medicine patients. Diagnostic coding accuracy for malnutrition remained high after tool implementation.

Keywords:
clinical decision supportdocumentationelectronic health recordshealth information systemsmalnutrition

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Area of Science:

  • Clinical Informatics
  • Healthcare Quality Improvement
  • Medical Documentation

Background:

  • Documentation queries for malnutrition can be burdensome for healthcare providers.
  • Accurate malnutrition coding is essential for patient care and hospital reimbursement.
  • Electronic tools offer potential solutions for streamlining clinical documentation.

Purpose of the Study:

  • To evaluate the impact of an electronic documentation tool on malnutrition queries.
  • To assess whether the tool affects the accuracy of malnutrition diagnostic coding.

Main Methods:

  • A comparative study design was used, analyzing 600 adult internal medicine patients.
  • Data were collected pre- and post-promotion of the electronic malnutrition documentation tool.
  • Malnutrition documentation queries and diagnosis coding proportions were compared between groups.

Main Results:

  • Malnutrition queries decreased from 50% pre-intervention to 19% post-intervention (P < .001).
  • Malnutrition diagnosis coding remained high at 99% in both groups.
  • Logistic regression showed a significant reduction in query odds (OR, 0.21; 95% CI, 0.16-0.29).
  • The tool was underutilized in 79% of queried post-intervention cases.

Conclusions:

  • The electronic documentation tool effectively reduced malnutrition queries.
  • The tool successfully preserved the accuracy of malnutrition diagnostic coding.
  • Strategies to promote adherence to the tool are needed for optimal impact.