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J Nurs Manag. 2019 Apr;27(3):491-501. doi: 10.1111/jonm.12727. Epub 2018 Dec 17.

Electronic nursing documentation interventions to promote or improve patient safety and quality care: A systematic review.

Author information

1
University College Cork, Cork, Ireland.
2
Institute of Technology, Tralee, Ireland.
3
Institute of Technology, Waterford, Ireland.

Abstract

AIM:

To review the evidence on the effects/impact of electronic nursing documentation interventions on promoting or improving quality care and/or patient safety in acute hospital settings.

BACKGROUND:

Electronic documentation has been recommended to improve quality care and patient safety. With the gradual move from paper-based to electronic nursing documentation internationally, there is a need to identify interventions that can effectively improve quality care and patient safety.

EVALUATION:

We conducted a systematic review on the effectiveness of electronic nursing documentation interventions on promoting or improving quality care and/or patient safety in acute hospital settings.

KEY ISSUES:

Six articles reporting on six individual studies met all eligibility criteria. They were uncontrolled pre/post intervention studies reporting positive impacts on at least one or more outcomes. Most outcomes related to documentation practice and documentation of content.

CONCLUSION:

Some evidence from our review indicates that implementing electronic nursing documentation in acute hospital settings is time saving, reduces rates of documentation errors, falls and infections.

IMPLICATIONS FOR NURSING MANAGEMENT:

A planned approach from management over time to allow nurses adapt to new electronic systems of documentation would seem a good investment in terms of efficiency of work time, possibly resulting in more time for clinical care.

PMID:
30387215
DOI:
10.1111/jonm.12727
[Indexed for MEDLINE]

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