{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T18:46:25Z","timestamp":1791830785346,"version":"4.3.4"},"reference-count":54,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T00:00:00Z","timestamp":1791763200000},"content-version":"vor","delay-in-days":11,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Evaluation Clinical Practice"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Rationale<\/jats:title>\n                    <jats:p>Clinical Decision Support Systems (CDSS) are increasingly used to enhance medical decision\u2010making, including nutrition support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to narratively review CDSS tools for enteral nutrition (EN) and to preliminarily evaluate a locally developed internal\u2010use CDSS designed to calculate patients' nutritional requirements and assist in the selection of EN and oral nutritional supplements (ONS) in adult hospitalized patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Literature search was conducted in PubMed to identify existing CDSS tools used for assisting EN. Additionally, the internal\u2010use CDSS was pilot\u2010tested in 27 adult inpatients admitted to a private hospital in Athens, Greece. Differences in the time required to prepare the manually derived EN\/ONS plan and the CDSS\u2010derived plan were recorded. Discrepancies between the two approaches were assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Fourteen studies were identified. Although the results were inconsistent, the application of a CDSS seems to reduce calculation time, increase dietitian referrals, initiate faster enteral feeding, improve nutrient delivery, decrease nutritional risk and was associated with fewer feeding\u2010related medical errors. In the pilot\u2010test of the internal\u2010use CDSS, the time required for nutrition planning decreased from 9.01\u2009\u00b1\u20090.21\u2009min to 4.01\u2009\u00b1\u20090.35\u2009min per patient. The CDSS and manual approach selected the same EN\/ONS products in 66.7% of the cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Implementing CDSSs in hospitals may streamline workflow, reduce calculation errors and shorten the time needed per patient. The specific CDSS may reduce the time required for EN\/ONS planning and may help standardize formula selection in adult hospitalized patients. These findings require confirmation in larger, multicenter studies with predefined clinical and workflow outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jep.70612","type":"journal-article","created":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T18:03:55Z","timestamp":1791828235000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinical Decision Support for Adult Enteral Nutrition: Literature Overview and Preliminary Hospital\u2010Based Evaluation"],"prefix":"10.1111","volume":"32","author":[{"given":"Panos","family":"Papandreou","sequence":"first","affiliation":[{"name":"Department of Nutrition IASO Hospital Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8068-577X","authenticated-orcid":false,"given":"Alexandra","family":"Foscolou","sequence":"additional","affiliation":[{"name":"Department of Nutritional Science and 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