Quality Improvement Activities for Establishment of Intestinal Rehabilitation in Intestinal Failure Patients.
- Author:
Hyo Jung PARK
1
;
Sang Hoon LEE
;
Ji Hye YOON
;
Hyun Jung KIM
;
Seul Hee HONG
;
Eun Ju KIM
;
Ja Kyung MIN
;
Hyun Jung KIM
;
Bo Kyung JUNG
;
Chae Yon OH
;
Yong Won IN
;
Young Mee LEE
;
Jeong Meen SEO
Author Information
1. Department of Pharmaceutical Services, Samsung Medical Center, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Intestinal failure;
Intestinal rehabilitation;
Team approach;
Quality improvement
- MeSH:
Blood Transfusion;
Caregivers;
Clinical Protocols;
Education;
Enteral Nutrition;
Humans;
Inpatients;
Length of Stay;
Quality Improvement*;
Rehabilitation*
- From:Journal of Clinical Nutrition
2014;6(3):101-107
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Intestinal failure (IF) is a complex clinical condition requiring a multi-disciplinary team approach. Our objective was to set up the treatment protocols and education documents for IF patients for development of intestinal rehabilitation programs in our hospital. METHODS: We compared the number of inpatients, length of hospital stay, mode of nutrition and calorie supply at discharge, and the frequency of blood transfusions before and after quality improvement of multidisciplinary activities, in order to evaluate the indirect effects of new protocols and training materials and for development of the intestinal rehabilitation system. RESULTS: We integrated eleven protocols for treatment and monitoring and seven educational materials for patients and caregivers. We compared indirect effects before and after the quality improvement activities. The number of IF patients hospitalized was reduced from 12 to 9. The mean days of hospital stay was decreased from 322 days to 73 days, the average number of monthly blood transfusions was also reduced from 1.8 to 0.3. In addition, the percentage of patients administered enteral nutrition and calories supplied was increased at discharge. CONCLUSION: By integrating IF protocols and education materials for IF patients, we found possible indirect effects of intestinal rehabilitation using a multidisciplinary team approach.
