{"id":10627,"date":"2024-11-19T11:51:36","date_gmt":"2024-11-19T16:51:36","guid":{"rendered":"https:\/\/www.med.unc.edu\/ihqi\/?page_id=10627"},"modified":"2026-04-01T13:08:04","modified_gmt":"2026-04-01T17:08:04","slug":"decreasing-inappropriate-initiation-of-parenteral-nutrition","status":"publish","type":"page","link":"https:\/\/www.med.unc.edu\/ihqi\/programs\/improvement-scholars\/decreasing-inappropriate-initiation-of-parenteral-nutrition\/","title":{"rendered":"Decreasing Inappropriate Initiation of Parenteral Nutrition"},"content":{"rendered":"<h2>Leads<\/h2>\n<p>Sara Bliss, PharmD<\/p>\n<p>Emily Coscia, MS, RD<\/p>\n<p>Anne Peery, MD<\/p>\n<h2>IHQI Support Team<\/h2>\n<p class=\"entry-title\">Matt Huemmer, MBA, MHA\u00a0<\/p>\n<p>Shana Ratner, MD<\/p>\n<h2>Aim\u00a0<\/h2>\n<p>1. Reduce inappropriate use of parenteral nutrition (PN)<\/p>\n<ul>\n<li>Oral\/enteral nutrition always preferred<\/li>\n<li>PN &lt;3 days = risk and little to no benefit<\/li>\n<\/ul>\n<p>2. Improve timing of PN initiation<\/p>\n<ul>\n<li>If unable to receive adequate oral\/enteral nutrition:\n<ul>\n<li>7 days well-nourished<\/li>\n<li>3-5 days nutritionally-at-risk<\/li>\n<li>ASAP baseline moderate or severe malnutrition<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>3. Implement PN safety assessment and education<\/p>\n<h2>Project Materials<\/h2>\n<p><a href=\"https:\/\/www.med.unc.edu\/ihqi\/wp-content\/uploads\/sites\/463\/2026\/04\/Advancing-Parenteral-Nutrition-Use-at-UNC-2026-Symposium-Presentation.pdf\">IHQI Symposium Presentation<\/a>\u00a0<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Leads Sara Bliss, PharmD Emily Coscia, MS, RD Anne Peery, MD IHQI Support Team Matt Huemmer, MBA, MHA\u00a0 Shana Ratner, MD Aim\u00a0 1. Reduce inappropriate use of parenteral nutrition (PN) Oral\/enteral nutrition always preferred PN &lt;3 days = risk and little to no benefit 2. Improve timing of PN initiation If unable to receive adequate &hellip; <a href=\"https:\/\/www.med.unc.edu\/ihqi\/programs\/improvement-scholars\/decreasing-inappropriate-initiation-of-parenteral-nutrition\/\" aria-label=\"Read more about Decreasing Inappropriate Initiation of Parenteral Nutrition\">Read more<\/a><\/p>\n","protected":false},"author":80504,"featured_media":0,"parent":8898,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-10627","page","type-page","status-publish","hentry","odd"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Decreasing Inappropriate Initiation of Parenteral Nutrition - Institute for Healthcare Quality Improvement<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.med.unc.edu\/ihqi\/programs\/improvement-scholars\/decreasing-inappropriate-initiation-of-parenteral-nutrition\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Decreasing Inappropriate Initiation of Parenteral Nutrition - Institute for Healthcare Quality Improvement\" \/>\n<meta property=\"og:description\" content=\"Leads Sara Bliss, PharmD Emily Coscia, MS, RD Anne Peery, MD IHQI Support Team Matt Huemmer, MBA, MHA\u00a0 Shana Ratner, MD Aim\u00a0 1. Reduce inappropriate use of parenteral nutrition (PN) Oral\/enteral nutrition always preferred PN &lt;3 days = risk and little to no benefit 2. Improve timing of PN initiation If unable to receive adequate &hellip; Read more\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.med.unc.edu\/ihqi\/programs\/improvement-scholars\/decreasing-inappropriate-initiation-of-parenteral-nutrition\/\" \/>\n<meta property=\"og:site_name\" content=\"Institute for Healthcare Quality Improvement\" \/>\n<meta property=\"article:modified_time\" content=\"2026-04-01T17:08:04+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:site\" content=\"@UNC_IHQI\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.med.unc.edu\/ihqi\/programs\/improvement-scholars\/decreasing-inappropriate-initiation-of-parenteral-nutrition\/\",\"url\":\"https:\/\/www.med.unc.edu\/ihqi\/programs\/improvement-scholars\/decreasing-inappropriate-initiation-of-parenteral-nutrition\/\",\"name\":\"Decreasing Inappropriate Initiation of Parenteral Nutrition - Institute for Healthcare Quality Improvement\",\"isPartOf\":{\"@id\":\"https:\/\/www.med.unc.edu\/ihqi\/#website\"},\"datePublished\":\"2024-11-19T16:51:36+00:00\",\"dateModified\":\"2026-04-01T17:08:04+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/www.med.unc.edu\/ihqi\/programs\/improvement-scholars\/decreasing-inappropriate-initiation-of-parenteral-nutrition\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.med.unc.edu\/ihqi\/programs\/improvement-scholars\/decreasing-inappropriate-initiation-of-parenteral-nutrition\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.med.unc.edu\/ihqi\/programs\/improvement-scholars\/decreasing-inappropriate-initiation-of-parenteral-nutrition\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/www.med.unc.edu\/ihqi\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Programs\",\"item\":\"https:\/\/www.med.unc.edu\/ihqi\/programs\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Improvement Scholars\",\"item\":\"https:\/\/www.med.unc.edu\/ihqi\/programs\/improvement-scholars\/\"},{\"@type\":\"ListItem\",\"position\":4,\"name\":\"Decreasing Inappropriate Initiation of Parenteral Nutrition\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.med.unc.edu\/ihqi\/#website\",\"url\":\"https:\/\/www.med.unc.edu\/ihqi\/\",\"name\":\"Institute for Healthcare Quality Improvement\",\"description\":\"\",\"publisher\":{\"@id\":\"https:\/\/www.med.unc.edu\/ihqi\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.med.unc.edu\/ihqi\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/www.med.unc.edu\/ihqi\/#organization\",\"name\":\"UNC IHQI\",\"url\":\"https:\/\/www.med.unc.edu\/ihqi\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/www.med.unc.edu\/ihqi\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/www.med.unc.edu\/ihqi\/wp-content\/uploads\/sites\/463\/2017\/09\/ba60cbac-1a2a-488d-a4bf-7df2713e0e63.png\",\"contentUrl\":\"https:\/\/www.med.unc.edu\/ihqi\/wp-content\/uploads\/sites\/463\/2017\/09\/ba60cbac-1a2a-488d-a4bf-7df2713e0e63.png\",\"width\":400,\"height\":87,\"caption\":\"UNC IHQI\"},\"image\":{\"@id\":\"https:\/\/www.med.unc.edu\/ihqi\/#\/schema\/logo\/image\/\"},\"sameAs\":[\"https:\/\/x.com\/UNC_IHQI\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Decreasing Inappropriate Initiation of Parenteral Nutrition - Institute for Healthcare Quality Improvement","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.med.unc.edu\/ihqi\/programs\/improvement-scholars\/decreasing-inappropriate-initiation-of-parenteral-nutrition\/","og_locale":"en_US","og_type":"article","og_title":"Decreasing Inappropriate Initiation of Parenteral Nutrition - Institute for Healthcare Quality Improvement","og_description":"Leads Sara Bliss, PharmD Emily Coscia, MS, RD Anne Peery, MD IHQI Support Team Matt Huemmer, MBA, MHA\u00a0 Shana Ratner, MD Aim\u00a0 1. Reduce inappropriate use of parenteral nutrition (PN) Oral\/enteral nutrition always preferred PN &lt;3 days = risk and little to no benefit 2. Improve timing of PN initiation If unable to receive adequate &hellip; Read more","og_url":"https:\/\/www.med.unc.edu\/ihqi\/programs\/improvement-scholars\/decreasing-inappropriate-initiation-of-parenteral-nutrition\/","og_site_name":"Institute for Healthcare Quality Improvement","article_modified_time":"2026-04-01T17:08:04+00:00","twitter_card":"summary_large_image","twitter_site":"@UNC_IHQI","twitter_misc":{"Est. reading time":"1 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.med.unc.edu\/ihqi\/programs\/improvement-scholars\/decreasing-inappropriate-initiation-of-parenteral-nutrition\/","url":"https:\/\/www.med.unc.edu\/ihqi\/programs\/improvement-scholars\/decreasing-inappropriate-initiation-of-parenteral-nutrition\/","name":"Decreasing Inappropriate Initiation of Parenteral Nutrition - Institute for Healthcare Quality Improvement","isPartOf":{"@id":"https:\/\/www.med.unc.edu\/ihqi\/#website"},"datePublished":"2024-11-19T16:51:36+00:00","dateModified":"2026-04-01T17:08:04+00:00","breadcrumb":{"@id":"https:\/\/www.med.unc.edu\/ihqi\/programs\/improvement-scholars\/decreasing-inappropriate-initiation-of-parenteral-nutrition\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.med.unc.edu\/ihqi\/programs\/improvement-scholars\/decreasing-inappropriate-initiation-of-parenteral-nutrition\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.med.unc.edu\/ihqi\/programs\/improvement-scholars\/decreasing-inappropriate-initiation-of-parenteral-nutrition\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.med.unc.edu\/ihqi\/"},{"@type":"ListItem","position":2,"name":"Programs","item":"https:\/\/www.med.unc.edu\/ihqi\/programs\/"},{"@type":"ListItem","position":3,"name":"Improvement Scholars","item":"https:\/\/www.med.unc.edu\/ihqi\/programs\/improvement-scholars\/"},{"@type":"ListItem","position":4,"name":"Decreasing Inappropriate Initiation of Parenteral Nutrition"}]},{"@type":"WebSite","@id":"https:\/\/www.med.unc.edu\/ihqi\/#website","url":"https:\/\/www.med.unc.edu\/ihqi\/","name":"Institute for Healthcare Quality Improvement","description":"","publisher":{"@id":"https:\/\/www.med.unc.edu\/ihqi\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.med.unc.edu\/ihqi\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/www.med.unc.edu\/ihqi\/#organization","name":"UNC IHQI","url":"https:\/\/www.med.unc.edu\/ihqi\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.med.unc.edu\/ihqi\/#\/schema\/logo\/image\/","url":"https:\/\/www.med.unc.edu\/ihqi\/wp-content\/uploads\/sites\/463\/2017\/09\/ba60cbac-1a2a-488d-a4bf-7df2713e0e63.png","contentUrl":"https:\/\/www.med.unc.edu\/ihqi\/wp-content\/uploads\/sites\/463\/2017\/09\/ba60cbac-1a2a-488d-a4bf-7df2713e0e63.png","width":400,"height":87,"caption":"UNC IHQI"},"image":{"@id":"https:\/\/www.med.unc.edu\/ihqi\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/x.com\/UNC_IHQI"]}]}},"_links_to":[],"_links_to_target":[],"_links":{"self":[{"href":"https:\/\/www.med.unc.edu\/ihqi\/wp-json\/wp\/v2\/pages\/10627","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.med.unc.edu\/ihqi\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.med.unc.edu\/ihqi\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.med.unc.edu\/ihqi\/wp-json\/wp\/v2\/users\/80504"}],"replies":[{"embeddable":true,"href":"https:\/\/www.med.unc.edu\/ihqi\/wp-json\/wp\/v2\/comments?post=10627"}],"version-history":[{"count":2,"href":"https:\/\/www.med.unc.edu\/ihqi\/wp-json\/wp\/v2\/pages\/10627\/revisions"}],"predecessor-version":[{"id":11941,"href":"https:\/\/www.med.unc.edu\/ihqi\/wp-json\/wp\/v2\/pages\/10627\/revisions\/11941"}],"up":[{"embeddable":true,"href":"https:\/\/www.med.unc.edu\/ihqi\/wp-json\/wp\/v2\/pages\/8898"}],"wp:attachment":[{"href":"https:\/\/www.med.unc.edu\/ihqi\/wp-json\/wp\/v2\/media?parent=10627"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}