Projects
Optimizing Nutrition in Very Low Birth Weight Patients with Prolonged Transition to Full Enteral Feedings
2009-2010
PI: Cody Arnold
Project Description
Although most very low birth weight (VLBW) newborns are born with appropriate size for gestational age, they grow very poorly between birth and their due dates. Published studies have shown that VLBW infants rarely receive the calories and protein that are needed to support in-utero growth. Protein and calorie deficits are particularly severe in VLBW with a prolonged transition from parenteral (intravenous) to full enteral (gastrointestinal) nutrition. Published research also suggests that individualized computer-assisted prescriptions for parenteral nutrition could safely and effectively reduce the calorie and protein deficit in patients who experience a prolonged transition relative to current practice (i.e. prescriptions using standard solutions or individualized prescriptions formulated with a hand held calculator). The opportunity for improvement can be evaluated in a retrospective chart review study, comparing intravenous calories and protein prescribed to what might have been prescribed in the same fluid volume.
Progress and Outcomes
Data collection is complete. Data analysis and manuscript preparation are in progress.
Projects
- The Texas Disclosure and Compensation Study: Best Practices for Improving Safety
- National Center for Cognitive Informatics and Decision Making in Healthcare
- Gulf Coast Regional Extension Center
- Improving the Safety and Quality of Pediatric Health Care
- Promoting Colorectal Cancer Screening Among Members of Internet Health Communities
- Optimizing Nutrition in Very Low Birth Weight Patients with Prolonged Transition to Full Enteral Feedings
- Clinical Decision Support in Community Hospitals: Barriers and Facilitators
- University of Texas System Patient Safety Activities
- AHRQ Training Program in Patient Safety and Quality: Using Health Information Technology to Improve Quality and Safety
- Using Electronic Data to Improve Care of Patients with Known or Suspected Cancer
- Using Electronic Records to Detect and Learn from Ambulatory Diagnostic Errors
- Crossing an Invisible Quality Chasm: From NICU To Ambulatory Care
- Prevention of Surgical Site Infections
- Developing a Composite Indicator to Measure the Quality of Neonatal Intensive Care
- Reducing Missed and Delayed Diagnoses in Cancer: Lessons from Aviation
- The Pebble Project
Safety Culture
