将电子健康记录从文档应用程序转变为自动化饮食程序,以个性化新生儿营养,并通过流程改进提高食管理安全性
Alisha Harmeson Owen1, Ameena Husain2, David ElHalta3
1Clinical Nutrition, University of Utah, Salt Lake City, Utah, USA.
概括
在新生儿重症监护室 (NICU) 实施电子健康记录 (EHR) 集成的自动化饮食计划 (ADP) 减少了早产婴儿停留时间6天. 这种系统可以提高食顺序的准确性和安全性.
科学领域:
- 新生儿营养新生儿营养
- 临床信息学 临床信息学
- 儿科生长的成长 儿科的成长
背景情况:
- 在新生儿重症监护室 (NICU) 的早产和生病新生儿,适当的营养至关重要.
- 手动计算营养成分和自由文本饮食订单是劳动密集型的,容易出现错误.
- 目前的食订单流程缺乏效率和安全保障.
研究的目的:
- 开发和实施电子健康记录 (EHR) 集成解决方案,用于自动输入养顺序和营养计算.
- 为了提高新生儿在NICU的营养支持的安全性和效率.
- 为了个性化牛奶混合食谱,提高营养物质的传递精度.
主要方法:
- 开发了一个EHR集成的自动化饮食计划 (ADP),在III级NICU中实施.
- 配置了EHR可订单的项目,以生成个性化的牛奶混合配方,并使用自动计算.
- 实现电子生成的患者标签和计算的强化器位移因子,以提高准确性.
主要成果:
- EHR-ADP成功地生成了个性化的混合牛奶配方,并使用了自动营养计算.
- EHR-ADP的保护功能发现了多个几乎错误的食管理错误.
- 在早产新生儿队列中,在实施后,停留时间平均减少了6天 (P=.01).
结论:
- 集成于EHR的自动化饮食计划 (ADP) 显示了提高NICU食订单管理的安全性和效率的潜力.
- 自动计算和增强的安全功能有助于为新生儿提供更好的营养支持.
- 需要进一步的研究和利用,以确认与个性化营养交付相关的增长益处.
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