Frequency of and Reasons for False-Positive Consults Generated by the Malnutrition Screening Tool

J Nurs Care Qual. 2019 Apr/Jun;34(2):E1-E6. doi: 10.1097/NCQ.0000000000000338.

Abstract

Background: Nutrition screening on admission is one way to identify patients with malnutrition. The Malnutrition Screening Tool (MST) is a commonly used screening tool but has been found to generate false-positive consults.

Purpose: The purpose of this research was two-fold: (1) to determine the percentage of nursing screens, using the MST, that generated a false-positive consult for a registered dietitian, and (2) to identify the reasons for these false-positive consults.

Methods: During a 3-month period, registered dietitians documented the number of false-positive consults received from the MST and reasons they were received.

Results: Of the registered dietitian consults generated, 5.5% were deemed false-positive. The most common reason for a false-positive consult was patient-reported weight loss that had resolved.

Conclusions: As nurses are integral to completion of the MST, data generated can be used in ongoing education of nursing staff.

MeSH terms

  • Humans
  • Malnutrition / diagnosis*
  • Mass Screening / methods*
  • Nursing Staff, Hospital
  • Nutrition Assessment*
  • Nutritional Status
  • Referral and Consultation
  • Reproducibility of Results
  • Surveys and Questionnaires
  • Weight Loss / physiology