title: Is There a Discrepancy? Comparing Enteral Nutrition Documentation With Enteral Pump Volumes.
abstract: BACKGROUND
  Nutrition therapy is essential to the care of critically ill patients. Information that is used to calculate the differences between patients' nutrition prescription and actual provision may be flawed due to errors in manually recording the amount of enteral nutrition (EN) provided. This study's purpose was to evaluate the accuracy of the EN volume delivered as recorded in the electronic medical record (EMR) relative to the EN volume retrieved from the EN pump.
  
  
  METHODS
  This prospective, blinded, observational study occurred from June 2014 to April 2015 with a total of 218 patients. Patients were identified for the study based on their intensive care unit (ICU) admission and need for EN support. Patients were ICU patients receiving EN support.
  
  
  RESULTS
  The major result of this study was that 14% of patients' EN volumes were underdocumented and 26% were overdocumented.
  
  
  CONCLUSIONS
  These results support the need for a technological platform that directly transmits EN pump volumes in real time to the EMR.
authors: 1 Department of Food and Nutrition, Nassau University Medical Center, East Meadow, New York, USA.
authors: Lisa
authors: L
authors: Musillo
authors: 1 Department of Food and Nutrition, Nassau University Medical Center, East Meadow, New York, USA.
authors: Laryssa Marie
authors: LM
authors: Grguric-Smith
authors: 2 Department of Health Professions, Hofstra University, Hempstead, New York, USA.
authors: Edward
authors: E
authors: Coffield
authors: 3 Department of Nursing, Nassau University Medical Center, East Meadow, New York, USA.
authors: Karen
authors: K
authors: Totino
authors: 4 Department of Surgery, Nassau University Medical Center, East Meadow, New York, USA.
authors: Jody C
authors: JC
authors: DiGiacomo
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D016638:Critical Illness / Q000628:therapy*; D004282:Documentation / Q000379:methods*; D057286:Electronic Health Records; D004750:Enteral Nutrition; D005260:Female; D006801:Humans; D007362:Intensive Care Units; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D016896:Treatment Outcome
keywords: critical illness; electronic health record; energy intake; enteral nutrition; infusion pumps; intensive care unit; medical records; nutritional support