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Selection of quality indicators for nutritional therapy in pediatrics: a cross-sectional study conducted in Brazil.

ABSTRACT: Background:Quality indicators for nutritional therapy (QINT) are important in assessing care and monitoring of resources. Among the 30 indicators proposed by International Life Sciences Institute, Brazil, there is still no evaluation of the most pertinent for Pediatrics. Objective:To list the 10 main quality indicators for nutritional therapies (QINTs) for Pediatrics. Methods:This was a two-phase cross-sectional study. Firstly, a questionnaire was answered by physicians, nutritionists, nurses, and pharmacists, all with having experience in nutritional therapy (NT) with Pediatrics, in Rio de Janeiro, Brazil. Participants assessed four attributes of QINT by using the Likert scale. A Top 10 ranked QINT list for Pediatrics was established. To verify the consistency of the questionnaire, Cronbach's Alpha coefficient was calculated. Secondly, the opinions of the participants on the results that were obtained were requested and the percentages of the positive responses were calculated. Results:A total of 33 professionals participated in the first phase and 92% (n = 23 of 25) in the second phase approved the results of the selected indicators. Among the Top 10 QINTs, the three main ones were: #1: "Frequency of diarrhea in those patients on enteral nutrition" (mean = 13.194; ? = 0.827); #2: "Frequency of dietary nutritional prescriptions upon the hospital discharge of the NT patients" (mean = 12.871; ? = 0.822); #3: "Frequency of the NT patients who recovered their oral intake" (mean = 12.839; ? = 0.859). Conclusion:When considering the consistency and the concordance that were obtained, it can be suggested that the list of Top 10 QINTs as proposed in this study will help in the evaluation of NT quality indicators for Pediatrics.

SUBMITTER: Bertoldi J

PROVIDER: S-EPMC5926547 | biostudies-literature | 2018

REPOSITORIES: biostudies-literature

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Selection of quality indicators for nutritional therapy in pediatrics: a cross-sectional study conducted in Brazil.

Bertoldi Julia J Ferreira Aline A Scancetti Luiza L Padilha Patricia P

PeerJ 20180427

<h4>Background</h4>Quality indicators for nutritional therapy (QINT) are important in assessing care and monitoring of resources. Among the 30 indicators proposed by International Life Sciences Institute, Brazil, there is still no evaluation of the most pertinent for Pediatrics.<h4>Objective</h4>To list the 10 main quality indicators for nutritional therapies (QINTs) for Pediatrics.<h4>Methods</h4>This was a two-phase cross-sectional study. Firstly, a questionnaire was answered by physicians, nu ...[more]

PMID: 29719733

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Project description:Objectives To develop and examine the prevalence of quality and safety indicators to monitor care of older Australians receiving home care packages (HCPs), a government-funded aged care programme to support individuals to live at home independently. Design Cross-sectional. Setting Home care recipients, Australia. Participants 90 650 older individuals (aged ≥65 years old and ≥50 years old for people of Aboriginal or Torres Strait Islander descent) who received a HCP between 1 January 2016 and 31 December 2016 nationally were included. Primary and secondary outcome measures The Registry of Senior Australians developed 15 quality and safety indicators: antipsychotic use, high sedative load, chronic opioid use, antimicrobial use, premature mortality, home medicines reviews, chronic disease management plan, wait-time for HCP, falls, fractures, medication-related adverse events, weight loss/malnutrition, delirium/dementia-related hospitalisations, emergency department (ED) presentations and pressure injuries. Risk adjusted prevalence (%, 95% CI) and geographical area (statistical level 3) variation during 2016 were examined. Results In 2016, a total of 102 590 HCP episodes were included for 90 650 individuals, with 66.9% (n=68 598) level 1–2 HCP episodes (ie, for basic care needs) and 33.1% (n=33 992) level 3–4 HCP (ie, higher care needs). The most prevalent indicators included: antibiotic use (52.4%, 95% CI 52.0 to 52.7), chronic disease management plans (38.1%, 95% CI 37.8 to 38.4), high sedative load (29.1%, 95% CI 28.8 to 29.4) and ED presentations (26.4%, 95% CI 25.9 to 26.9). HCP median wait time was 134 days (IQR 41–406). Geographical variation was highest in chronic disease management plans and ED presentations (20.7% of areas outside expected range). Conclusion A comprehensive outcome monitoring system to monitor the quality and safety of care and variation for HCP recipients was developed. It provides a pragmatic, efficient and low burden tool to support evidence-based quality and safety improvement initiatives for the aged care sector.

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Selection of quality indicators for nutritional therapy in pediatrics: a cross-sectional study conducted in Brazil.

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Selection of quality indicators for nutritional therapy in pediatrics: a cross-sectional study conducted in Brazil.

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