Feasibility and impact of a quality improvement initiative to screen for malnutrition in an Inflammatory Bowel Disease clinic

Gold, Stephanie; Kohler, David R.; Philippou, Alicia; Rabinowitz, Loren; Manning, Laura; Keefer, Laurie; Suzannah, Bergstein; Birhanu, Beselot; Raman, Maitreyi; Dubinsky, Marla; Sands, Bruce E.; Colombel, Jean–Frédéric; Ungaro, Ryan C.

doi:10.1016/j.clnesp.2022.09.019

Cited by 3 publications

(1 citation statement)

References 13 publications

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“…Gold et al, 2022 [27] Guidelines and standards Implemented malnutrition screening program using modified Malnutrition Universal Screening Tool; recommendations for high risk patients; smart tool and smart phrase built into EMR.…”

Section: Screeningmentioning

confidence: 99%

Quality improvement exercises in Inflammatory Bowel Disease (IBD) services: A scoping review

Ridsdale,

Khurana,

Taslim

et al. 2024

PLoS ONE

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Objective Quality Improvement initiatives aim to improve care in Inflammatory Bowel Disease (IBD). These address a range of aspects of care including adherence to published guidelines. The objectives of this review were to document the scope and quality of published quality improvement initiatives in IBD, highlight successful interventions and the outcomes achieved. Design/method We searched MEDLINE, EMBASE, CINAHL and Web of Science. Two reviewers independently screened and extracted data. We included peer reviewed articles or conference proceedings reporting initiatives intended to improve the quality of IBD care, with both baseline and prospectively collected follow-up data. Initiatives were categorised based on problems, interventions and outcomes. We used the Quality Improvement Minimum Quality Criteria Set instrument to appraise articles. We mapped the focus of the articles to the six domains of the IBD standards. Results 100 studies were identified (35 full text; 65 conference abstracts). Many focused on vaccination, medication, screening, or meeting multiple quality measures. Common interventions included provider education, the development of new service protocols, or enhancements to the electronic medical records. Studies principally focused on areas covered by the IBD standards ‘ongoing care’ and ‘the IBD service’, with less focus on standards ‘pre-diagnosis’, ‘newly diagnosed’, ‘flare management’, ‘surgery’ or ‘inpatient care’. Conclusion Good quality evidence exists on approaches to improve the quality of a narrow range of IBD service functions, but there are many topic areas with little or no published quality improvement initiatives. We highlight successful quality improvement interventions and offer recommendations to improve reporting of future studies.

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Section: Screeningmentioning

confidence: 99%

Quality improvement exercises in Inflammatory Bowel Disease (IBD) services: A scoping review

Ridsdale,

Khurana,

Taslim

et al. 2024

PLoS ONE

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Advances in Digital Health for Gastrointestinal Nutrition

Kim,

Zhang,

Mauldin

et al. 2024

Curr Treat Options Gastro

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Purpose of Review Advances in computing have led to an explosion in digital health. This review discusses potential applications of digital technologies, their implications for patient care, and future directions at the intersection between nutrition and gastrointestinal (GI) conditions. Recent Findings We present an array of digital technologies, including mobile applications, wearable devices, biosensors, artificial intelligence (AI), and telehealth, that have uses for GI nutrition. While having practical value, many are still limited to the early phases of development or have not yet been proven to provide clinical benefit. Summary Digital health technologies offer unprecedented insight into the individual’s health and lifestyle. AI technologies, coupled with the wealth of data collected, offer a path toward precision nutrition. Balanced against the incredible potential and promise of digital health, we should also recognize its limitations, particularly risks involving patient privacy and AI bias, when implementing these tools. Much more research is needed for creating, refining, and validating these technologies for GI nutrition before they can be more widely adopted in clinical practice.

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