The impact of electronic meal ordering systems on hospital and patient outcomes: a systematic review

Research output: Contribution to journalReview articleResearchpeer-review

Abstract

Background: Malnutrition is a serious clinical issue associated with adverse patient and hospital outcomes. Hospitals need to consider interventions that support the provision of optimal nutritional management and care for patients. Electronic meal ordering (EMO) systems provide an alternative to traditional paper-based meal ordering with the capacity to support appropriate orders, monitor nutritional status, and potentially improve clinical outcomes. Methods: This review aimed to identify the impact of EMO systems on hospital and patient outcomes. We sought quantitative evidence (peer-reviewed and grey literature) from studies evaluating EMO systems in healthcare facilities, published after 1999 and available in the English language. Results: We identified 23 studies evaluating one of three distinct EMO system-supported models: spoken menu, room service, and self-service. While limited, the evidence indicated that EMO systems were associated with: improved patient satisfaction; decreased food waste; increased consumption; and, for spoken menus, more time with patients. There was no substantive evidence of impact on clinical outcomes. Conclusions: Whether EMO systems meet their potential to support nutritional monitoring and positively impact clinical outcomes remains unanswered within the evidence. Thus, policy makers and hospital management currently have a poor evidence base upon which to make decisions about the value of implementing EMO. Whether these systems can provide support and guidance to patients during meal ordering, improve order appropriateness and accuracy through compliance checking, identify patients in need of dietary education or those at risk of malnutrition are critical areas of focus for future research.

LanguageEnglish
Pages275-284
Number of pages10
JournalInternational Journal of Medical Informatics
Volume129
DOIs
Publication statusPublished - 1 Sep 2019

Fingerprint

Meals
Malnutrition
Patient Care Management
Literature
Nutritional Support
Administrative Personnel
Nutritional Status
Patient Satisfaction
Compliance
Language
Delivery of Health Care
Education
Food

Keywords

  • Dietary services
  • Electronic meal ordering
  • Foodservices
  • Information systems
  • Meals
  • Nutrition

Cite this

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title = "The impact of electronic meal ordering systems on hospital and patient outcomes: a systematic review",
abstract = "Background: Malnutrition is a serious clinical issue associated with adverse patient and hospital outcomes. Hospitals need to consider interventions that support the provision of optimal nutritional management and care for patients. Electronic meal ordering (EMO) systems provide an alternative to traditional paper-based meal ordering with the capacity to support appropriate orders, monitor nutritional status, and potentially improve clinical outcomes. Methods: This review aimed to identify the impact of EMO systems on hospital and patient outcomes. We sought quantitative evidence (peer-reviewed and grey literature) from studies evaluating EMO systems in healthcare facilities, published after 1999 and available in the English language. Results: We identified 23 studies evaluating one of three distinct EMO system-supported models: spoken menu, room service, and self-service. While limited, the evidence indicated that EMO systems were associated with: improved patient satisfaction; decreased food waste; increased consumption; and, for spoken menus, more time with patients. There was no substantive evidence of impact on clinical outcomes. Conclusions: Whether EMO systems meet their potential to support nutritional monitoring and positively impact clinical outcomes remains unanswered within the evidence. Thus, policy makers and hospital management currently have a poor evidence base upon which to make decisions about the value of implementing EMO. Whether these systems can provide support and guidance to patients during meal ordering, improve order appropriateness and accuracy through compliance checking, identify patients in need of dietary education or those at risk of malnutrition are critical areas of focus for future research.",
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author = "Mirela Prgomet and Julie Li and Ling Li and Andrew Georgiou and Westbrook, {Johanna I.}",
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The impact of electronic meal ordering systems on hospital and patient outcomes : a systematic review. / Prgomet, Mirela; Li, Julie; Li, Ling; Georgiou, Andrew; Westbrook, Johanna I.

In: International Journal of Medical Informatics, Vol. 129, 01.09.2019, p. 275-284.

Research output: Contribution to journalReview articleResearchpeer-review

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