The International Dysphagia Diet Standardisation Initiative (IDDSI) framework: the Kempen pilot

One of the most common treatments for dysphagia is the provision of texture-modified food and thickened liquids. To improve patient safety, a standardised terminology has been advocated. In 2015, the International Dysphagia Diet Standardisation Initiative (IDDSI) framework was released. The IDDSI framework describes texture-modified food and thickened liquids for individuals of all ages, in all care settings and in all cultures. To put the IDDSI framework into operation, a pilot site in Kempen, Germany volunteered to conduct a quality assurance process to document IDDSI implementation. The process commenced on the neurology ward, with findings to inform roll-out to other wards and eventually other hospitals. Through wide stakeholder involvement using simultaneous top-down and bottom-up approaches and agreed timelines, the Kempen Pilot achieved implementation at ward level. Practical training, incorporating the IDDSI framework into a range of communication channels and inter-professional collaboration were key to successful implementation.