title: Clinical indicators for oncology, cardiovascular, and surgical patients: report of the ADA Council on Practice Quality Assurance Committee.
abstract: Clinical indicators were developed as an ADA project for use by the membership and the Joint Commission on Accreditation of Healthcare Organizations as part of its Agenda for Change. This 3-year project involved three clinical indicator task forces who developed clinical indicators for oncology, cardiovascular, and surgical adult acute-care setting patient populations. The task forces developed clinical indicators that were revised after an extensive field review and validation by field test. The following indicators were recommended: Cardiovascular--Patients at high risk for impaired nutritional status receive nutrition intervention within 5 days of admission or within consecutive 5 days on clear liquid diet/nothing by mouth; Patients make food choices consistent with therapeutic diet. Oncology--No patient is on clear-liquid diet/nothing by mouth without nutrition support for more than 5 days; All patients at moderate or high risk are identified by screening and assessed within 72 hours of admission; Patients at moderate or high risk are able to implement nutrition care plan at discharge. Surgery--No patient is on clear-liquid diet/nothing by mouth without nutrition support for more than 7 days; No patient has weight loss greater than 10% of admission weight at discharge; calorie and protein and/or volume goals for patients on enteral or parenteral nutrition are documented in the medical record; Patients on enteral or parenteral nutrition receive at least 1,000 kcal/day by the fourth day after an operation.
authors.affiliation: Department of Dietetics, New England Deaconess Hospital, Boston, MA 02215.
authors.forename: P M
authors.initials: PM
authors.lastname: Queen
authors.forename: M
authors.initials: M
authors.lastname: Caldwell
authors.forename: L
authors.initials: L
authors.lastname: Balogun
mesh_terms: D002318:Cardiovascular Diseases / Q000628:therapy*; D004044:Dietary Proteins / Q000008:administration & dosage; D004046:Dietetics; D002149:Energy Intake; D004750:Enteral Nutrition; D006801:Humans; D009369:Neoplasms / Q000628:therapy*; D009747:Nutritional Physiological Phenomena; D009752:Nutritional Status; D010288:Parenteral Nutrition; D011786:Quality Control; D012955:Societies, Medical; D013514:Surgical Procedures, Operative; D015431:Weight Loss
chemical_list: D004044:Dietary Proteins