Impact of a Nutrition-Focused Quality Improvement Intervention on Hospital Length of Stay

Sharon Siegel, Linlin Fan, Amanda Goldman, Joseph Higgins, Scott Goates, Jamie Partridge

Research output: Contribution to journalArticlepeer-review

20 Scopus citations


Background: Despite its high prevalence, malnutrition in hospitalized patients often goes unrecognized and undertreated. Local Problem: A hospital system sought to improve nutrition care by implementing a quality improvement initiative. Nurses screened patients upon admission using the Malnutrition Screening Tool and initiated oral nutrition supplements for patients at risk. Methods: We retrospectively reviewed the medical records of 20 697 adult patients to determine whether early initiation of nutrition therapy had reduced hospital length of stay and 30-day readmission rates. Results: We found the average time from hospital admission to oral nutrition supplement initiation was reduced by 20 hours (20.8%) after the quality improvement initiative was introduced (P <.01). Length of stay decreased 0.88 days (P <.05) more for patients at nutritional risk than patients not at nutritional risk; the probability of 30-day hospital readmission did not differ between groups. Conclusion: These results highlight the importance of adequate nutrition screening, diagnosis, and treatment for hospitalized patients.

Original languageEnglish (US)
Pages (from-to)203-209
Number of pages7
JournalJournal of Nursing Care Quality
Issue number3
StatePublished - Jul 1 2019

All Science Journal Classification (ASJC) codes

  • General Nursing


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