KnE Life Sciences

ISSN: 2413-0877

The latest conference proceedings on life sciences, medicine and pharmacology.

Comparison of Documentation Quality using Electronic Nutrition Care Process (NUCAPRO) and Manual System

Published date: Mar 25 2021

Journal Title: KnE Life Sciences

Issue title: The 2nd International Scientific Meeting on Public Health and Sports (ISMoPHS 2020)

Pages: 71–80

DOI: 10.18502/kls.v0i0.8869

Authors:

Farah Paramitafarah.paramita.fik@um.ac.idDepartment of Public Health, Faculty of Sport Science, Universitas Negeri Malang, Malang, Indonesia

Yayuk HartriyantiDepartment of Health Nutrition, Faculty of Medicine, Universitas Gadjah Mada

Susestyowati .Department of Health Nutrition, Faculty of Medicine, Universitas Gadjah Mada

Luftan LazuardiDepartment of Health Policy and Management, Faculty of Medicine, Universitas Gadjah Mada

Abstract:

Hospital nutritional care requires a timely, accurate and complete information delivery to the patients. Some barriers found in the documentation process include incomplete documentation and errors in calculating patient’s nutritional needs. We developed NUCAPRO (NCP Electronic), a computer-based system, to document the nutritional care process and help dietitians in calculating a patient’s nutritional needs. This computer system was compared with a manual system to find out which of the two provided more accurate and complete documentation. This pre-experimental study used a pre–post-test design. Eight dietitians were recruited from the Internal Medicine Department Hospital in Malang to perform the documentation of the nutritional care of 40 diabetes mellitus patients. The documentation was performed using a manual system and NUCAPRO. The completeness and accuracy of documentation were compared between the two systems. Statistical analysis was done using McNemar. The results showed no difference in terms of completeness and accuracy of documentation between the two systems (p < 0.05). However, the error in calculation using NCP Electronic was found to be lower than the manual system. We suggest developing an alert feature for the system so that the process is more efficient.

Keywords: dietetics, documentation, medical informatic application, completeness, accurate, error

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