多学科团队的影响.pdf

1、Impact of a Multidisciplinary Nutrition Support Team on Quality Improvement for Patients Receiving Home Parenteral Nutrition Presented by:Rebecca Brown,RDN,CNSCJamie Haselhorst,RDN,LDN,CNSCFinancial Disclosures Employees of Amerita Specialty Infusion Learning Objectives1st Learning Objective:Discuss

2、 background of the research study for adult patients on home parenteral nutrition.2nd Learning Objective:Discuss how a multidisciplinary nutritional support teams(MNST)input can reduce adverse outcomes.3rd Learning Objective:Describe a tool used to measure the impact of MNST on HPN patients quality

3、of life.Home Parenteral Nutrition(HPN)Research Background Measure the effect of a multidisciplinary nutritional support team(MNST)approach to caring for patients on home parenteral nutrition MNST=Nutrition support physician,dietitians,pharmacists and nursesObjective was to determine the effect of MN

4、ST on adherence to protocols,outcomes and quality of life for the adult patients on long term HPN(3-4 months)Home Parenteral NutritionResearch Background ParameterData CollectionPatient demographicsAge,gender,diagnoses,reason for home PN,CIRS ScorePatient QoL assessmentEQ-5D-3LPN characteristicsMacr

5、onutrients,micronutrients,osmolarity,infusion cycleCatheter informationCatheter type,dressing type,insertion date,reinsertion date/reason,infection type/date,other complicationsNursingAgency,visit frequencyLab draw,Physician office visit,PN formula adjustmentFrequencyVisits to ED,Rehospitalizations

6、Names,dates,reasonsMNST recommended changes acceptedYes or no OutcomesAccess device events,adverse drug reactions,ED visits,unplanned hospitalization Home Parenteral Nutrition Research Background The study was broken up into 3 phases:Phase 1:Chart Review for r