Reducing the Risk of Malnutrition Among Ischaemic Stroke Patients with Dysphagia
Care Continuum
Care Process & Redesign
National University Health System Quality Improvement
National University Health System
31 December 2020
Double the percentage of ASU patients on texture-modified (TM) diets referred for DT management from 22% to 44% by June 2020. Early identification and intervention successfully reduced malnutrition risk among stroke patients.
Year Submitted: 2020
Published Date: 31 December 2020
Tags: Care Continuum, Care Process ＆ Redesign, Inpatient Care, Quality Improvement, Clinical Practice Improvement, Access To Care, Referral Rate, Risk Management, Preventive Approach
About this Content
Aims
Double the percentage of ASU patients on texture-modified (TM) diets referred for DT management from 22% to 44% by June 2020.
Background
Studies show stroke patients on TM diets are 2.6x more likely to suffer malnutrition, leading to increased mortality and longer hospital stays.
Methods
Conducted awareness talks, changed workflows to allow Speech Therapists (STs) to refer patients directly, and implemented monthly reminders for referrals.
Results
Referrals increased from 22% to 100% by June 2020; sustained improvement after consistent reminders.
Conclusion
Early identification and intervention successfully reduced malnutrition risk among stroke patients.
Lessons Learnt
Stakeholder buy-in, workflow changes, and regular reminders were key to achieving sustainable improvements.
Keywords
Stroke Patients, Dysphagia, Nutrition, Texture-Modified Diet, Referral Workflow
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National University Health System |
Organization(s) Involved | Ng Teng Fong General Hospital |
Platform(s) | National University Health System Quality Improvement |
Healthcare Professional Group(s) | Allied Health, Nursing, Medical |
Applicable Specialty or Discipline | Nutrition ＆ Dietetics |
Project Lead(s) | Melody Foo |
Project Member(s) | Jenny Gan |
Connect with this contributor!
Melody Foo - Melody_Foo@nuhs.edu.sg