An Audit of Dietitians' Documentation - Comparing the Level of Agreement Between the Audit Instruments Diet-NCP-Audit and NCP-QUEST

Anja Lindberg; Maria Nyberg; Ylva Orrevall; Evelina Liljeberg

doi:10.3233/SHTI230159

An Audit of Dietitians' Documentation - Comparing the Level of Agreement Between the Audit Instruments Diet-NCP-Audit and NCP-QUEST

Stud Health Technol Inform. 2023 May 18:302:398-399. doi: 10.3233/SHTI230159.

Authors

Anja Lindberg¹, Maria Nyberg², Ylva Orrevall³, Evelina Liljeberg^{3

4}

Affiliations

¹ Nacka Rehab Centre, Stockholm, Sweden.
² Primary Health Care Dietitians, County Västmanland, Sweden.
³ Medical Unit Clinical Nutrition, Women's Health and Allied Health Professionals Theme, Karolinska University Hospital, Stockholm, Sweden.
⁴ Department of Food Studies, Nutrition and Dietetics, Uppsala University, Sweden.

PMID: 37203704
DOI: 10.3233/SHTI230159

Abstract

To explore the inter-rater reliability of the Swedish translation of NCP-QUEST in a Swedish context and investigate the level of agreement between Diet-NCP-Audit and NCP-QUEST in assessment of documentation quality. A retrospective audit was conducted of 40 electronic patient records written by dietitians at one University Hospital in Sweden. NCP-QUEST showed good inter-rater reliability for the quality category (ICC = 0.85) and excellent inter-rater reliability for total score (ICC = 0.97).

Keywords: Dietitian; Documentation Quality; Medical Record; Nutrition Care Process.

MeSH terms

Diet
Documentation
Humans
Nutritionists*
Reproducibility of Results
Retrospective Studies