ASPEN Safe Practices for Enteral Nutrition Therapy [Formula: see text].
Enteral nutrition (EN) is a valuable clinical intervention for patients of all ages in a variety of care settings. Along with its many outcome benefits come the potential for adverse effects. These safety issues are the result of clinical complications and of process-related errors. The latter can occur at any step from patient assessment, prescribing, and order review, to product selection, labeling, and administration. To maximize the benefits of EN while minimizing adverse events requires that a systematic approach of care be in place. This includes open communication, standardization, and incorporation of best practices into the EN process. This document provides recommendations based on the available evidence and expert consensus for safe practices, across each step of the process, for all those involved in caring for patients receiving EN.
1 Clinical Nutrition Support Services, Hospital of the University of Pennsylvania and Department of Nutrition, Drexel University, Philadelphia, Pennsylvania, USA.
Joseph I
JI
Boullata
2 Shield Healthcare, Valencia, California, USA.
Amy Long
AL
Carrera
3 Northshore University Hospital, Manhasset, New York, and Hofstra University NorthWell School of Medicine, Garden City, New York, USA.
Lillian
L
Harvey
4 Digestive Disease Institute Cleveland Clinic Cleveland, Ohio, USA.
Arlene A
AA
Escuro
5 Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Lauren
L
Hudson
6 Baptist Health Systems and University of Mississippi School of Pharmacy, Jackson, Mississippi, USA.
Andrew
A
Mays
7 Sanford University of South Dakota Medical Center, Sioux Falls, South Dakota, USA.
Carol
C
McGinnis
8 Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Jacqueline J
JJ
Wessel
9 Indiana University Health, Indianapolis, Indiana, USA.
Sarita
S
Bajpai
10 Mount Carmel West Hospital, Columbus, Ohio, USA.
Mara Lee
ML
Beebe
11 Loyola University Medical Center, Maywood, Illinois, USA.
Tamara J
TJ
Kinn
12 Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Mark G
MG
Klang
13 University of Rochester Medical Center, Rochester, New York, USA.
Linda
L
Lord
14 University of Texas Center for Health Sciences at San Antonio, San Antonio, Texas, USA.
Karen
K
Martin
15 University of Chicago, Medicine Comer Children's Hospital, Chicago, Illinois, USA.
Cecelia
C
Pompeii-Wolfe
16 Aurora Lakeland Medical Center, Elkhorn, Wisconsin, USA.
Jackie
J
Sullivan
17 Baylor University Medical Center, Dallas, Texas, USA.
Abby
A
Wood
18 American Society for Enteral and Parenteral Nutrition, Silver Spring, Maryland, USA.
Ainsley
A
Malone
18 American Society for Enteral and Parenteral Nutrition, Silver Spring, Maryland, USA.
Peggi
P
Guenter
D032921:Consensus; D004750:Enteral Nutrition; D005526:Food, Formulated; D006801:Humans; D057947:Parenteral Nutrition Solutions / Q000737:chemistry / Q000592:standards; D017410:Practice Guidelines as Topic
D057947:Parenteral Nutrition Solutions
enteral access; enteral formulas; enteral nutrition; nutrition; safety