Nutrition audits for ICU and inpatient settings are systematic evaluations of nutritional care delivery designed to improve patient outcomes, safety, and quality of care. Hospitalized and critically ill patients are particularly vulnerable to malnutrition due to increased metabolic demands, inflammation, reduced intake, and treatment-related interruptions. Nutrition audits ensure that nutritional care is timely, appropriate, and aligned with best-practice standards.

Audits begin with assessment of nutrition screening processes on admission, ensuring that patients at risk of malnutrition are identified early. This includes review of screening tools, documentation practices, and referral pathways. Delays in nutrition intervention can significantly impact recovery, length of stay, infection rates, and mortality, making early identification a critical audit focus.

Evaluation extends to the appropriateness and adequacy of nutrition support. Audits review whether enteral or parenteral nutrition is initiated when indicated, whether prescribed nutrition meets calculated requirements, and whether delivery is uninterrupted and well tolerated. Feeding interruptions, under-delivery, and protocol deviations are identified and addressed.

Micronutrient provision, glycemic control, electrolyte management, and fluid balance are also evaluated, particularly in ICU settings where metabolic instability is common. Documentation quality, interdisciplinary communication, and handover processes are assessed to identify system-level gaps that affect nutrition delivery.

Audit findings are translated into actionable quality-improvement initiatives. This may include protocol updates, staff education, workflow redesign, or enhanced interdisciplinary collaboration. Repeat audits track progress and ensure sustained improvement over time.

Nutrition audits support clinical governance and accountability. They provide objective data to guide decision-making, align practice with international standards, and demonstrate commitment to patient safety and outcomes. When embedded into hospital quality frameworks, nutrition audits elevate nutrition care from a supportive service to a core clinical priority.