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Computerized Decision Support Systems for Nursing Homes: A Scoping Review.

Abir Abdellatif1, Jacques Bouaud2, Carmelo Lafuente-Lafuente3

  • 1Sorbonne Université, Inserm, Université Sorbonne Paris Nord, LIMICS, UMR S_1142, Paris, France; APHP, Hôpital Charles-Foix, Ivry-sur-Seine, France; Teranga Software, Paris, France.

Journal of the American Medical Directors Association
|February 27, 2021
PubMed
Summary

Computerized decision support systems (CDSSs) in nursing homes show potential for improving patient care and reducing issues like pressure ulcers. However, more high-quality research is needed to confirm these benefits.

Keywords:
Computerized decision support systemsgeriatricsnursing homesoutcome assessment

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Area of Science:

  • Gerontology
  • Health Informatics
  • Nursing Home Care

Background:

  • Nursing homes (NHs) face challenges in delivering optimal patient care.
  • Computerized decision support systems (CDSSs) offer potential solutions for improving healthcare delivery in NHs.

Purpose of the Study:

  • To conduct a scoping review of research on the outcomes of CDSS implementation in NHs.
  • To identify the impact of CDSS on clinical and process outcomes in the nursing home setting.

Main Methods:

  • A comprehensive search of Medline was conducted for English-language articles published between 2000 and 2020.
  • Study quality was assessed using PRISMA guidelines and the Mixed Method Appraisal Tool.
  • 24 studies were selected from 1828 retrieved articles for the review.

Main Results:

  • CDSSs demonstrated potential in decreasing pressure ulcer incidence and malnutrition prevalence.
  • Improvements were noted in process outcomes, including guideline compliance, documentation, teamwork, and communication.
  • Cost savings were also reported as a potential benefit of CDSS implementation.

Conclusions:

  • CDSSs may be effective in enhancing patient clinical outcomes and healthcare delivery within NHs.
  • The current evidence base is largely derived from observational studies, limiting definitive conclusions.
  • Further high-quality research is essential to fully understand the effects and limitations of CDSSs in NHs.