Electronic nursing documentation interventions to promote or improve patient safety and/or quality care in an acute setting

Abstract

Research has demonstrated that the implementation of electronic nursing documentation interventions can enhance the precision and comprehensiveness of records, thereby providing a significant benefit. Electronic documentation systems help to reduce errors resulting from factors such as indecipherable handwriting, incomplete or absent documentation, and transcription errors. ‎In May 2022, a comprehensive research was conducted in CINAHL, MEDLINE, Cochrane, and Web of Science to identify relevant literature for their study. The study focuses on the use of electronic health systems in nursing, specifically in the documentation of care plans, records, reports, and charts. Individuals utilizing any given database employ the tools at their disposal to conduct searches for document abstracts and titles. This rapid review comprised one cross-sectional, one randomised control trial, two quasi-experimental, one qualitative, and one cohort study. The US, Taiwan, and Jordan each held two tests. The six trials included a medical-surgical and telemetry hospital with 446 beds, an acute care hospital with 1037 beds, a medical-surgical unit, and an urgent care clinic. The results revealed that electronic nursing documentation has improved quality of nursing.