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https://d1y502jg6fpugt.cloudfront.net/13418/archive/files/2ad2381a3922aee0310ad6f1acd68b01.pdf?Expires=1712793600&Signature=byDsAH4WXHQnbPwqdBMfx2BRN30tQkOl%7EZZlBHRdGNRcC2Atv6Wx9mYLFGu8ivD95hH1G-l7xeigB-roKPR1YaceuvA8TndbD8RzXiCcx4-G9tRWLoWRZgoVs9F%7El2XGSHprDajhPtE4I%7E0qRb-KsNIPn8dtPyJZo1w4ff9XK-U1YrRyhkTBgqJIzVVHhzxikuzrxSx9Rmnn5OXt%7EW6hnLnPH-kF8p%7EvU6uS8hFzdFjAK76opcU9fJ4JHspuY2ulZFYcHLgo4%7EuaRHU8Ll3WwS273DfvhWtouRjtiKqRhefYd5cxtG0nLqs2mopctsyu%7ECZn8nHGOk23Fcerpd7jMg__&Key-Pair-Id=K6UGZS9ZTDSZM
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Do No Harm: Bridging the Gap between Food Services and Eating Disorder Treatment
The Problem
It is estimated that 8 million Americans have an eating disorder. Given the major
decrease in reimbursement rates, eating disorder patients are often forced to seek
treatment at higher care levels and thus receive an increase of their treatment in
hospitals.
Due to the nature of eating disorders, a collaboration between nutrition and food services
is essential. For these patients as well as many others, food is imperative to their
treatment. Inpatient treatment of eating disorders depends on food service to deliver
trays accurately and in a timely manner. Current food services eating disorder protocol
includes transferring beverages with nutrition labels to unlabeled containers, delivering
trays to the nursing station, and placing mandatory supervisor checks on all trays. Despite
these measures, there were discrepancies on trays. In order to further refine the eating
disorder protocol, additional measures have been introduced. Such accuracy on eating
disorder trays is essential because any discrepancies or missing items compromises
treatment and recovery.
Aim/Goal
Increase the accuracy of all patient line eating disorder trays by following the revised
protocol for breakfast, lunch, and dinner to 100% accurate per RN/RD feedback. The
protocol was designed to decrease the number of incorrect trays and missing items and
thus strengthen the role of food services in eating disorder treatment.
The Team
Julia Sementelli RD LDN Sodexo Food Service Mieka Martin, Sodexo Food Services
Susan Pereira, Sodexo Food Services, CDM CFPP Kelsey Whalen, Sodexo Food Services
Roda Somera Connell, RD, Sodexo Food Services Nora Blake, Sodexo Food Services
Patricia Samour, MMSc, RD, LDN, Nutrition Services Catherine Jackson, Food Services
The Interventions
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Focus groups with Clinical Nutrition and Food Service Management
Best practices reviewed at other hospitals
Eating Disorder Trays placed in a bag and sealed
Created policy on bagging trays introduced to primary eating disorder floors
Both “Tray Checked By Supervisor” bright orange sticker and supervisor signature
on all tickets
Printing out “red flag” patients and placing the list on the trayline and noting when
the ticket is expected to print to further enforce the need for a supervisor check on
each tray
Lessons Learned
The new requirements implemented to ensure eating disorder tray accuracy requires
additional time and effort from the manager on duty. However, given the significant
decrease in reports of discrepancies from the nursing staff of eating disorder
patients, the extra effort is certainly worthwhile.
Next Steps/What Should Happen Next
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Add eating disorder tray protocol to nursing manual
Focus group between clinical and food service
Monitor protocol to qualify efficacy and make necessary changes
For more information, please contact:
Julia Sementelli, RD, LDN, Patient Services Manager
jsemente@bidmc.harvard.edu
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Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Silverman Symposium
Description
An account of the resource
Each year the Silverman Symposium poster session offers BIDMC staff and affiliates the opportunity to share experiences and learn about efforts to improve Quality and Safety.
Date
A point or period of time associated with an event in the lifecycle of the resource
2021
Silverman Poster
Primary Contact
If you would like more information about this project, contact this person. Make email address clickable.
Julia Sementelli (<a href="mailto:jsemente@bidmc.harvard.edu">jsemente@bidmc.harvard.edu</a>)
Department
Any departments listed on the poster or identified in the spreadsheet.
Food Services
BIDMC Location
The BIDMC location where the poster team resides if identified in spreadsheet. If not identified, choose BIDMC.
BIDMC
Project Team
Julia Sementelli <br />Mieka Martin<br />Susan Pereira<br />Kelsey Whalen<br />Roda Somera Connell<br />Nora Blake<br />Patricia Samour<br />Catherine Jackson
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Do No Harm: Bridging the Gap between Food Services and Eating Disorder Treatment
Date
A point or period of time associated with an event in the lifecycle of the resource
2014
Format
The file format, physical medium, or dimensions of the resource
pdf
Effectiveness
Efficiency