Desenvolvimento de um programa de computador para avaliação de indicadores de qualidade em terapia nutricional

Abstract

Introduction: Quality control in health care is based on the use of quality indicators, which are measures used to determine the performance of functions, processes and results. Quality indicators of nutritional therapy, for example, can increase the chances of recovery and decrease negative outcomes in hospitalized patients. Objective: To develop a computer program to evaluate nutritional therapy indicators (IQTN). Methods: A computer program via the web system (Java 7 platform) was developed in the period between August / 2019 and March / 2020 through the planning stages, clinical discussions between the research team, nutrition management and programmers. The program includes the stages of nutritional assessment and diagnosis, clinical evolution and estimation of IQTN. Results: The system consists of three menus involving all stages of evaluation and monitoring of hospitalized patients. The “Nutrition” icon provides access to the “Nutritional Diagnosis” tab, which includes Nutritional Screening and Subjective Global Assessment. In the “Nutritional Calculations” tab, the subtopics “Anthropometric Calculations”, “Energy Estimation” and “Enteral Calculation” are available. Right after, in "Nutritional Developments" it is possible to follow the individual evolutions of each patient, with their respective dates and responsible for filling it out. The program allows the generation of four IQTN as reports to date: Frequency of application of AGS in patients on oral nutritional therapy and in patients on Enteral / Parenteral Nutrition Therapy; Frequency of nutritional screening in 24 hours of hospitalized patients; AGS frequency Frequency of nutritional screening in hospitalized patients (regardless of time) / by period. Conclusion: The system was developed and is available for use by nutritionists at Hospital de Clínicas / UFU. The program can improve the management of IQTN as well as facilitate the routine with the issuance of reports.