Auditing the nutrition content of patient charts: one hospital's perspective.
Chart audits are traditionally based on patient charts categorized by disease. An alternate approach, using categorization by four types of nutrition care intervention, has been developed by University Hospital. This paper describes the process followed, criteria developed and the results of two complete chart audits. It was shown that nutrition profile forms improved documentation. Overall norms increased significantly from 81.5% to 90% (p < .05). Discussion centres on the evolutionary process from quality assurance to continuous quality improvement.
University Hospital, London, Ontario.
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Skopelianos
D004045:Dietary Services / Q000592:standards*; D005521:Food Service, Hospital / Q000592:standards*; D006745:Hospital Bed Capacity, 300 to 499; D006753:Hospital Records; D006785:Hospitals, University; D008485:Medical Audit / Q000379:methods*; D015596:Nutrition Assessment; D009864:Ontario; D011785:Quality Assurance, Health Care / Q000458:organization & administration