Dietetics in the digital age: the impact of an electronic medical record on a tertiary hospital dietetic department

Aim: The present study aimed to assess the impact of a hospital-wide electronic medical record (EMR) on the way dietitians collect routine data for their assessments and its impact on their clinical documentation and service provision. Methods: Data were collected retrospectively from the following sources: interdepartmental chart audit, the EMR itself (nutrition diagnosis), National Health Roundtable database (admissions requiring nutrition events) and the hospital-wide Pressure Injury Prevention Audits (height, weight and malnutrition screening). Results: There were improvements in medical record accessibility (76.4% pre vs 100% post, P