Offering Guidance and Learning to Prescribers to Initiate Parenteral Nutrition using a Validated Electronic Decision TREE (OLIVE TREE).
Decision tree
Parenteral nutrition
Parenteral nutrition stewardship
Prescribing
Validation
Journal
Journal of medical systems
ISSN: 1573-689X
Titre abrégé: J Med Syst
Pays: United States
ID NLM: 7806056
Informations de publication
Date de publication:
09 Jul 2022
09 Jul 2022
Historique:
received:
07
02
2022
accepted:
16
05
2022
entrez:
8
7
2022
pubmed:
9
7
2022
medline:
14
7
2022
Statut:
epublish
Résumé
Parenteral nutrition (PN) is recommended in patients nutritionally at risk and unable to receive oral or enteral nutrition. A standardized electronic PN order format could enhance appropriate PN prescribing. We developed the OLIVE TREE (Offering guidance and Learning to prescribers to Initiate PN using a Validated Electronic decision TREE), embedded in our electronic health record. We aimed to evaluate its validity and impact on physicians' prescribing behavior. A non-randomized before-after study was carried out in a tertiary care center. The OLIVE TREE comprises 120 individual items. A process validation was performed to determine interrater agreement between a pharmacist and the treating physician. To estimate the proportion of patients for whom the OLIVE TREE had an effective and potential impact on physicians' prescribing behavior, a proof of concept study was conducted. The proportion of patients for whom PN was averted and the proportion of decisions not in line with the recommendation were also calculated. The process validation in 20 patients resulted in an interrater agreement of 95.0%. The proof of concept in 73 patients resulted in an effective and potential impact on prescribing behavior in 50.7% and 79.5% of these patients, respectively. Initiation of PN was not averted and recommendations of the OLIVE TREE were overruled in 42.5% of the patients. Our newly developed OLIVE TREE has a good process validity. A substantial impact on prescribing behavior was observed, although initiation of PN was not avoided. In the next phase, the decision tree will be implemented hospital-wide.
Identifiants
pubmed: 35804275
doi: 10.1007/s10916-022-01835-x
pii: 10.1007/s10916-022-01835-x
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
56Informations de copyright
© 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
Références
Khalatbari-Soltani S, Marques-Vidal P. The economic cost of hospital malnutrition in Europe; a narrative review. Clin Nutr ESPEN. 2015;10(3):e89-e94. https://doi.org/10.1016/j.clnesp.2015.04.003 .
doi: 10.1016/j.clnesp.2015.04.003
pubmed: 28531387
Felder S, Lechtenboehmer C, Bally M, Fehr R, Deiss M, Faessler L, et al. Association of nutritional risk and adverse medical outcomes across different medical inpatient populations. Nutrition. 2015;31(11-12):1385-93. https://doi.org/10.1016/j.nut.2015.06.007 .
doi: 10.1016/j.nut.2015.06.007
pubmed: 26429660
Barker LA, Gout BS, Crowe TC. Hospital malnutrition: prevalence, identification and impact on patients and the healthcare system. Int J Environ Res Public Health. 2011;8(2):514-27. https://doi.org/10.3390/ijerph8020514 .
doi: 10.3390/ijerph8020514
pubmed: 21556200
pmcid: 3084475
Meulemans A, Matthys C, Vangoitsenhoven R, Sabino J, Van Der Schueren B, Maertens P, et al. A multicenter propensity score matched analysis in 73,843 patients of an association of nutritional risk with mortality, length of stay and readmission rates. Am J Clin Nutr. 2021;114(3):1123-30. https://doi.org/10.1093/ajcn/nqab135 .
doi: 10.1093/ajcn/nqab135
pubmed: 33987635
Cederholm T, Barazzoni R, Austin P, Ballmer P, Biolo G, Bischoff SC, et al. ESPEN guidelines on definitions and terminology of clinical nutrition. Clin Nutr. 2017;36(1):49-64. https://doi.org/10.1016/j.clnu.2016.09.004 .
doi: 10.1016/j.clnu.2016.09.004
pubmed: 27642056
Kondrup J, Allison SP, Elia M, Vellas B, Plauth M, Educational and Clinical Practice Committee ErSoPaENE. ESPEN guidelines for nutrition screening 2002. Clin Nutr. 2003;22(4):415-21. https://doi.org/10.1016/s0261-5614(03)00098-0 .
doi: 10.1016/s0261-5614(03)00098-0
pubmed: 12880610
Worthington P, Balint J, Bechtold M, Bingham A, Chan LN, Durfee S, et al. When Is Parenteral Nutrition Appropriate? JPEN J Parenter Enteral Nutr. 2017;41(3):324-77. https://doi.org/10.1177/0148607117695251 .
doi: 10.1177/0148607117695251
pubmed: 28333597
Guenter P, Ayers P, Boullata JI, Gura KM, Holcombe B, Sacks GS. Parenteral Nutrition Errors and Potential Errors Reported Over the Past 10 Years. Nutr Clin Pract. 2017;32(6):826-30. https://doi.org/10.1177/0884533617715868 .
doi: 10.1177/0884533617715868
pubmed: 28662372
Montalvo-Jave EE, Zarraga JL, Sarr MG. Specific topics and complications of parenteral nutrition. Langenbecks Arch Surg. 2007;392(2):119-26. https://doi.org/10.1007/s00423-006-0133-6 .
doi: 10.1007/s00423-006-0133-6
pubmed: 17221268
Sobotka L, Maria C. Basics in clinical nutrition: metabolic complications of parenteral nutrition. E-spen, The European E-journal of Clinical Nutrition and Metabolism. 2010;5(3):e153-154. https://doi.org/10.1016/j.eclnm.2009.01.001 .
Seres DS, Valcarcel M, Guillaume A. Advantages of enteral nutrition over parenteral nutrition. Therap Adv Gastroenterol. 2013;6(2):157-67. https://doi.org/10.1177/1756283X12467564 .
doi: 10.1177/1756283X12467564
pubmed: 23503324
pmcid: 3589130
Wong AT, Ong JP, Han HH. The Use of Parenteral Nutrition Support in an Acute Care Hospital and the Cost Implications of Short-term Parenteral Nutrition. Ann Acad Med Singap. 2016;45(6):237-44. https://doi.org/10.47102/annals-acadmedsg.V42n8p395
doi: 10.47102/annals-acadmedsg.V42n8p395
pubmed: 27412056
Deleenheer B, Declercq P, Van Veer H, Nafteux P, Spriet I. Evaluation of parenteral nutrition use in patients undergoing major upper gastro-intestinal surgery. Int J Clin Pharm. 2015;37(4):579-82. https://doi.org/10.1007/s11096-015-0099-y .
doi: 10.1007/s11096-015-0099-y
pubmed: 25791348
Declercq P, Van der Aa F, De Pourcq L, Spriet I. Impact of an oral nutrition protocol in patients treated with elective radical cystectomy: a long term follow-up. Int J Clin Pharm. 2019;41(2):408-13. https://doi.org/10.1007/s11096-019-00800-y .
doi: 10.1007/s11096-019-00800-y
pubmed: 30864080
Declercq P, De Win G, Van der Aa F, Beels E, Elodie B, Van der Linden L, et al. Reduced length of stay in radical cystectomy patients with oral versus parenteral post-operative nutrition protocol. Int J Clin Pharm. 2015;37(2):379-86. https://doi.org/10.1007/s11096-015-0072-9 .
doi: 10.1007/s11096-015-0072-9
pubmed: 25666940
Adams KM, Kohlmeier M, Powell M, Zeisel SH. Nutrition in medicine: nutrition education for medical students and residents. Nutr Clin Pract. 2010;25(5):471-80. https://doi.org/10.1177/0884533610379606 .
doi: 10.1177/0884533610379606
pubmed: 20962306
pmcid: 4594871
Broad J, Wallace M. Nutrition and public health in medical education in the UK: reflections and next steps. Public Health Nutr. 2018;21(13):2523-5. https://doi.org/10.1017/S1368980018000800 .
doi: 10.1017/S1368980018000800
pubmed: 29708088
Lenders CM, Deen DD, Bistrian B, Edwards MS, Seidner DL, McMahon MM, et al. Residency and specialties training in nutrition: a call for action. Am J Clin Nutr. 2014;99(5 Suppl):1174S-83S. https://doi.org/10.3945/ajcn.113.073528 .
doi: 10.3945/ajcn.113.073528
pubmed: 24646816
pmcid: 3985219
Ayers P, Adams S, Boullata J, Gervasio J, Holcombe B, Kraft MD, et al. A.S.P.E.N. parenteral nutrition safety consensus recommendations. JPEN J Parenter Enteral Nutr. 2014;38(3):296-333. https://doi.org/10.1177/0148607113511992 .
doi: 10.1177/0148607113511992
pubmed: 24280129
Boullata JI, Gilbert K, Sacks G, Labossiere RJ, Crill C, Goday P, et al. A.S.P.E.N. clinical guidelines: parenteral nutrition ordering, order review, compounding, labeling, and dispensing. JPEN J Parenter Enteral Nutr. 2014;38(3):334-77. https://doi.org/10.1177/0148607114521833 .
doi: 10.1177/0148607114521833
pubmed: 24531708
Riskin A, Picaud JC, Shamir R. ESPGHAN/ESPEN/ESPR/CSPEN guidelines on pediatric parenteral nutrition: Standard versus individualized parenteral nutrition. Clin Nutr. 2018;37(6 Pt B):2409-17. https://doi.org/10.1016/j.clnu.2018.06.955 .
doi: 10.1016/j.clnu.2018.06.955
pubmed: 30055867
Reber E, Strahm R, Bally L, Schuetz P, Stanga Z. Efficacy and efficiency of nutritional support teams. J Clin Med. 2019;8(9):1281. https://doi.org/10.3390/jcm8091281 .
Katoue MG. Role of pharmacists in providing parenteral nutrition support: current insights and future directions. Integr Pharm Res Pract. 2018;7:125-40. https://doi.org/10.2147/IPRP.S117118 .
doi: 10.2147/IPRP.S117118
pubmed: 30324089
pmcid: 6173269
Akbar Z, Saeed H, Saleem Z, Andleeb S. Dosing errors in total parenteral nutrition prescriptions at a specialized cancer care hospital of Lahore: The role of clinical pharmacist. J Oncol Pharm Pract. 2021;27(3):531-40. https://doi.org/10.1177/1078155220923014 .
doi: 10.1177/1078155220923014
pubmed: 32403978
Boitano M, Bojak S, McCloskey S, McCaul DS, McDonough M. Improving the safety and effectiveness of parenteral nutrition: results of a quality improvement collaboration. Nutr Clin Pract. 2010;25(6):663-71. https://doi.org/10.1177/0884533610385349 .
doi: 10.1177/0884533610385349
pubmed: 21139133
Alomi YA FA, Al-Shubaar N, Alameer LY. The Clinical Outcomes of Pharmacist Interventions in Total Parenteral Nutrition services in Riyadh City, Saudi Arabia. Int J Pharm Health Sci. 2019;2(2):135-40. https://doi.org/10.5530/IJPCS.2019.8.23 .
doi: 10.5530/IJPCS.2019.8.23
Wang Z, Peng Y, Cai X, Cao Y, Yang G, Huang P. Impact of total parenteral nutrition standardization led by pharmacist on quality in postoperative patients with colorectal cancer. Eur J Clin Nutr. 2019;73(2):243-9. https://doi.org/10.1038/s41430-018-0281-0 .
doi: 10.1038/s41430-018-0281-0
pubmed: 30333517
Crews J, Rueda-de-Leon E, Remus D, Sayles R, Mateus J, Shakeel F. Total Parenteral Nutrition Standardization and Electronic Ordering to Reduce Errors: a Quality Improvement Initiative. Pediatr Qual Saf. 2018;3(4):e093. https://doi.org/10.1097/pq9.0000000000000093 .
doi: 10.1097/pq9.0000000000000093
pubmed: 30229203
pmcid: 6135557
Foulks CJ, Krenek G, Maxwell K. The effect of changing the total parenteral nutrition order form on resident physician ordering behavior. Nutr Clin Pract. 1997;12(1):30-4. https://doi.org/10.1177/011542659701200130 .
doi: 10.1177/011542659701200130
pubmed: 9197793
MacKay M, Anderson C, Boehme S, Cash J, Zobell J. Frequency and Severity of Parenteral Nutrition Medication Errors at a Large Children's Hospital After Implementation of Electronic Ordering and Compounding. Nutr Clin Pract. 2016;31(2):195-206. https://doi.org/10.1177/0884533615591606 .
doi: 10.1177/0884533615591606
pubmed: 26214511
Hilmas E, Peoples JD. Parenteral nutrition prescribing processes using computerized prescriber order entry: opportunities to improve safety. JPEN J Parenter Enteral Nutr. 2012;36(2 Suppl):32S-5S. https://doi.org/10.1177/0148607111435510 .
doi: 10.1177/0148607111435510
pubmed: 22301325
Lashinsky JN, Suhajda JK, Pleva MR, Kraft MD. Use of Integrated Clinical Decision Support Tools to Manage Parenteral Nutrition Ordering: Experience From an Academic Medical Center. Nutr Clin Pract. 2020. https://doi.org/10.1002/ncp.10469 .
doi: 10.1002/ncp.10469
pubmed: 32083350
Papandreou P, Ntountaniotis D, Skouroliakou M, Massara P, Siahanidou T. Does a parenteral nutrition decision support system for total nutrients improve prescription procedure and neonatal growth? J Matern Fetal Neonatal Med. 2021;34(5):747-54. https://doi.org/10.1080/14767058.2019.1615432 .
doi: 10.1080/14767058.2019.1615432
pubmed: 31122088
Gallagher V, Berlana D, Paulsson M, White RJ. Parenteral nutrition: a call to action for harmonization of policies to increase patient safety. Eur J Clin Nutr. 2021;75(1):3-11. https://doi.org/10.1038/s41430-020-0669-5 .
doi: 10.1038/s41430-020-0669-5
pubmed: 32523089
Xu ZW, Li YS. Pathogenesis and treatment of parenteral nutrition-associated liver disease. Hepatobiliary Pancreat Dis Int. 2012;11(6):586-93. https://doi.org/10.1016/s1499-3872(12)60229-x .
doi: 10.1016/s1499-3872(12)60229-x
pubmed: 23232629
Kumpf VJ. Parenteral nutrition-associated liver disease in adult and pediatric patients. Nutr Clin Pract. 2006;21(3):279-90. https://doi.org/10.1177/0115426506021003279 .
doi: 10.1177/0115426506021003279
pubmed: 16772545
Walmsley RS. Refeeding syndrome: screening, incidence, and treatment during parenteral nutrition. J Gastroenterol Hepatol. 2013;28 Suppl 4:113-7. https://doi.org/10.1111/jgh.12345 .
doi: 10.1111/jgh.12345
pubmed: 24251716
National Institutes of Health, National Cancer Institute. Common Terminology Criteria for Adverse Events (CTCAE) version 5.0 November 2017 [Internet]. Available from: https://ctep.cancer.gov/protocoldevelopment/electronic_applications/docs/CTCAE_v5_Quick_Reference_8.5x11.pdf . Accessed on 16 Jul 2020
Vera E. Todorovic AM, on behalf of the Parenteral and Enteral Nutrition Group of the British Dietetic Association. A Pocket Guide To Clinical Nutrition, Chapter 3: Adult Requirements. 4th ed Birmingham (UK): Parenteral and Enteral Nutrition Group of the British Dietetic Association, 3.10–3.11.
(NICE) NIfHaCE: Nutrition support for adults: oral nutrition support, enteral tube feeding and parenteral nutrition. https://www.nice.org.uk/guidance/cg32/resources/nutrition-support-for-adults-oral-nutrition-support-enteral-tube-feeding-and-parenteral-nutrition-pdf-975383198917 (2006, last updated 2017). Accessed on 16 Jul 2020
Rodrigues IB, Adachi JD, Beattie KA, MacDermid JC. Development and validation of a new tool to measure the facilitators, barriers and preferences to exercise in people with osteoporosis. BMC Musculoskelet Disord. 2017;18(1):540. https://doi.org/10.1186/s12891-017-1914-5 .
doi: 10.1186/s12891-017-1914-5
pubmed: 29258503
pmcid: 5738121
Polit DF, Beck CT. The content validity index: are you sure you know what's being reported? Critique and recommendations. Res Nurs Health. 2006;29(5):489-97. https://doi.org/10.1002/nur.20147 .
doi: 10.1002/nur.20147
pubmed: 16977646
Gisev N, Bell JS, Chen TF. Interrater agreement and interrater reliability: key concepts, approaches, and applications. Res Social Adm Pharm. 2013;9(3):330-8. https://doi.org/10.1016/j.sapharm.2012.04.004 .
doi: 10.1016/j.sapharm.2012.04.004
pubmed: 22695215
Hripcsak G, Heitjan DF. Measuring agreement in medical informatics reliability studies. J Biomed Inform. 2002;35(2):99-110. https://doi.org/10.1016/s1532-0464(02)00500-2 .
doi: 10.1016/s1532-0464(02)00500-2
pubmed: 12474424
Vanek VW, Ayers P, Kraft M, Bouche JM, Do VT, Durham CW, et al. A call to action for optimizing the electronic health record in the parenteral nutrition workflow. Am J Health Syst Pharm. 2018;75(18):1400-20. https://doi.org/10.2146/ajhp180276 .
doi: 10.2146/ajhp180276
pubmed: 30065062
Skouroliakou M, Koutri K, Stathopoulou M, Vourvouhaki E, Giannopoulou I, Gounaris A. Comparison of two types of TPN prescription methods in preterm neonates. Pharm World Sci. 2009;31(2):202-8. https://doi.org/10.1007/s11096-009-9281-4 .
doi: 10.1007/s11096-009-9281-4
pubmed: 19169838
Anderson CF, MacBurney MM. Application of A.S.P.E.N. clinical guidelines: parenteral nutrition use at a university hospital and development of a practice guideline algorithm. Nutr Clin Pract. 1996;11(2):53-8. https://doi.org/10.1177/011542659601100253 .
doi: 10.1177/011542659601100253
pubmed: 8788338
Simmer K, Rakshasbhuvankar A, Deshpande G. Standardised parenteral nutrition. Nutrients. 2013;5(4):1058-70. https://doi.org/10.3390/nu5041058 .
doi: 10.3390/nu5041058
pubmed: 23538938
pmcid: 3705334
Arends J, Bachmann P, Baracos V, Barthelemy N, Bertz H, Bozzetti F, et al. ESPEN guidelines on nutrition in cancer patients. Clin Nutr. 2017;36(1):11-48. https://doi.org/10.1016/j.clnu.2016.07.015 .
doi: 10.1016/j.clnu.2016.07.015
pubmed: 27637832
Weimann A, Braga M, Carli F, Higashiguchi T, Hübner M, Klek S, et al. ESPEN guideline: Clinical nutrition in surgery. Clin Nutr. 2017;36(3):623-50. https://doi.org/10.1016/j.clnu.2017.02.013 .
doi: 10.1016/j.clnu.2017.02.013
pubmed: 28385477
Bischoff SC, Bernal W, Dasarathy S, Merli M, Plank LD, Schütz T, et al. ESPEN practical guideline: Clinical nutrition in liver disease. Clin Nutr. 2020;39(12):3533-62. https://doi.org/10.1016/j.clnu.2020.09.001 .
doi: 10.1016/j.clnu.2020.09.001
pubmed: 33213977