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An audit of nutritional care in patients receiving parenteral nutrition; a response to the National Clinical Enquiry into Patient Outcome and Death “A Mixed Bag” 2010

A National Confidential Enquiry into Patient Outcome and Death (NCEPOD) recently reported appalling national standards; 81% of patients failing to receive a good standard of care when cases were externally peer reviewed. We audited the quality of care received by parentally fed patients at Southampton University Hospital Trust (SUHT), a specialist regional centre with an intestinal failure unit (IFU). Data were collected prospectively from 50 patients over an 8 week period, based on a modified NCEPOD audit tool. An additional study to assess parenteral nutrition (PN) administration and accuracy of fluid balance recording in different ward areas was also undertaken. PN bags were weighed pre and post administration to calculate the volume patients received and compared with data recorded on fluid balance charts.