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

Bridie McCarthy, Serena Fitzgerald, Maria O’Shea, Carol Condon, Gerardina Hartnett-Collins, Martin Clancy, Agnes Sheehy, Suzanne Denieffe, Michael Bergin, Eileen Savage

Research output: Contribution to journalArticlepeer-review

33 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)491-501
Number of pages11
JournalJournal of Nursing Management
Volume27
Issue number3
DOIs
Publication statusPublished - Apr 2019

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