{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T19:34:55Z","timestamp":1792352095077,"version":"4.4.0"},"reference-count":22,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T00:00:00Z","timestamp":1759881600000},"content-version":"vor","delay-in-days":7,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Human Nutrition Diet"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The International Dysphagia Diet Standardisation Initiative (IDDSI) framework establishes a global standard, with standardized terms, descriptors and measurement criteria, to enhance dysphagia care. This paper presents one of the first documented successful implementations of IDDSI in a large acute care hospital. The implementation at the University Hospital Graz, a 1554\u2010bed acute care facility, took place between 2021 and 2024. The project aimed to standardize practices in five patient\u2010focused areas to improve knowledge, and facilitate multiprofessional communication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Based on the IDDSI Monitor, Aware, Prepare, Adopt (MAPA) model and IDDSI implementation guide, a project plan was developed. An interdisciplinary working group consisting of dietitians, Speech\u2010Language Pathologists (SLPs) and chefs conducted comprehensive audits of all existing recipes and aligned clinical swallowing assessments and dietetic recommendations with IDDSI standards. Training programs ensured the consistent application of terminology across the therapeutic, nursing, and kitchen teams. Two staff surveys were conducted \u2010 one before and one after implementation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The working group successfully integrated IDDSI into clinical workflows, menu planning, charting and electronic health record systems. Staff surveys showed a significant increase in IDDSI awareness, rising from 42.1% to 76.7%, along with greater use of the IDDSI standardized terminology by the staff during the project's duration.<\/jats:p>\n                    <jats:p>Key implementation challenges included adapting recipes to meet IDDSI texture levels and integrating the framework into the utilized Cook and Chill food preparation system. Dual project lead with one Speech\u2010Language Pathologist (SLP) and one dietitian, targeted training, and the active engagement of kitchen staff were crucial to the project's success.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study demonstrates that implementing IDDSI in acute care settings is both feasible and beneficial, leading to multiprofessional knowledge of the framework and fostering collaboration.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jhn.70139","type":"journal-article","created":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T05:24:51Z","timestamp":1759987491000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Implementing IDDSI in an Acute Care Setting: Experiences From the University Hospital Graz"],"prefix":"10.1111","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6641-2081","authenticated-orcid":false,"given":"Feiner","family":"Marlies","sequence":"first","affiliation":[{"name":"Department of Speech\u2010Language Pathology University Hospital of Graz Graz Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haring","family":"Florian","sequence":"additional","affiliation":[{"name":"Department of Speech\u2010Language Pathology University Hospital of Graz Graz Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Traub","family":"Julia","sequence":"additional","affiliation":[{"name":"Department of Clinical Medical Nutrition University Hospital Graz Graz Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Domnanich","family":"Sandra","sequence":"additional","affiliation":[{"name":"Department of Clinical Medical Nutrition University Hospital Graz Graz Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Potzinger","family":"Martina","sequence":"additional","affiliation":[{"name":"Department of Clinical Medical Nutrition University Hospital Graz Graz Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hofer","family":"Sarah","sequence":"additional","affiliation":[{"name":"Department of Clinical Medical Nutrition University Hospital Graz Graz Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Schuster","family":"Sophie","sequence":"additional","affiliation":[{"name":"Department of Speech\u2010Language Pathology University Hospital of Graz Graz Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Walcher","family":"Barbara","sequence":"additional","affiliation":[{"name":"Department of Clinical Medical Nutrition University Hospital Graz Graz Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sommer","family":"Thomas","sequence":"additional","affiliation":[{"name":"Kitchen, University Hospital Graz Graz Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bauer","family":"Stefan","sequence":"additional","affiliation":[{"name":"Kitchen, University Hospital Graz Graz Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eberhard","family":"Katharina","sequence":"additional","affiliation":[{"name":"Core Facility Computational Bioanalytics Medical University Graz Graz Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tervonen","family":"Hannaleena","sequence":"additional","affiliation":[{"name":"Division of Phoniatrics University Hospital of Graz Graz Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,10,8]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-016-9696-8"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-014-9578-x"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.3389\/fresc.2024.1337971"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnesp.2022.03.039"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2017.09.002"},{"key":"e_1_2_11_7_1","first-page":"27","article-title":"Die International Dysphagia Diet Standardisation Initiative (IDDSI) Im Deutschsprachigen Raum, Erfahrungen Und Strategien F\u00fcr Eine Erfolgreiche Implementierung","volume":"02","author":"Sollereder S.","year":"2021","journal-title":"Logop\u00e4dieschweiz"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-016-9758-y"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.12968\/bjnn.2017.13.Sup2.S18"},{"key":"e_1_2_11_10_1","unstructured":"M.Kraemer B.Degen C.Ledl et al. IDDSI Grundstruktur Testmethoden 2.0 [Internet].2019[cited 2025 May 06] https:\/\/www.iddsi.org\/images\/Publications-Resources\/DetailedDefnTestMethods\/German\/V2DetailedDefnGerman22Jun2020.PDF."},{"key":"e_1_2_11_11_1","unstructured":"logop\u00e4dieaustria Sollereder S.Sollereder. Positionspapier Unterst\u00fctzung des IDDSI\u2010Rahmenwerkes Positionspapier des \u00f6sterreichischen Berufsverbandesder Logop\u00e4dinnen und Logop\u00e4den [Internet].2019[cited 2025 May 06] https:\/\/logopaedieaustria.at\/sites\/default\/files\/files\/Positionspapier_IDDSI_25092019.pdf."},{"key":"e_1_2_11_12_1","unstructured":"S.Pirker\u2010NeuwirthEinsatz der IDDSI\u2010Grundstruktur im di\u00e4tologischen Berufsalltag Positionspapier des Berufsverbandes der Diaetologen \u00d6sterreichs [Internet].2021[cited 2022 Dec 08] https:\/\/www.diaetologen.at\/fileadmin\/user_upload\/news\/IDDSI_Position_2021.pdf."},{"key":"e_1_2_11_13_1","unstructured":"International Dysphagia Diet Standardisation Initiative (IDDSI). Declaration to Improve the Safety of Persons with Dysphagia [Internet].2025[cited 2025 Aug 04] https:\/\/www.iddsi.org\/images\/News\/EUDeclaration2025\/EUDeclaration2025-28Feb2025.pdf."},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-018-9915-6"},{"issue":"3","key":"e_1_2_11_15_1","first-page":"1","article-title":"Diagnosis and Management of Swallowing Physiology, Standardized Contrast, the MBSImp\u2122, & the IDDSI Framework","volume":"50","author":"Steele C.","year":"2021","journal-title":"Applied Radiology"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-019-09979-8"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-022-10468-8"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2020.07.051"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jand.2018.06.133"},{"issue":"3","key":"e_1_2_11_20_1","first-page":"11","article-title":"Implementing the International Dysphagia Diet Standardisation Initiative in the UK","volume":"18","author":"Hanson B.","year":"2018","journal-title":"CN"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-021-10393-2"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1093\/cdn\/nzac032"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jada.2010.07.014"}],"container-title":["Journal of Human Nutrition and Dietetics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jhn.70139","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T12:33:49Z","timestamp":1761914029000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jhn.70139"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10]]},"references-count":22,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,10]]}},"alternative-id":["10.1111\/jhn.70139"],"URL":"https:\/\/doi.org\/10.1111\/jhn.70139","archive":["Portico"],"relation":{},"ISSN":["0952-3871","1365-277X"],"issn-type":[{"value":"0952-3871","type":"print"},{"value":"1365-277X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10]]},"assertion":[{"value":"2025-05-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-28","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-08","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70139"}}