Clinical Decision Support Systems for Operating Room Nurses: A Rapid Review

Area of Science:

• Nursing Informatics
• Health Information Technology
• Clinical Decision Support Systems

Background:

• Clinical Decision Support Systems (CDSS) are increasingly integrated into healthcare settings.
• The specific impact of CDSS on Operating Room Nurses (ORN) decision-making remains an area requiring further investigation.

Purpose of the Study:

• To conduct a rapid review of existing literature on the impact of CDSS on Operating Room Nurses' decision-making.
• To identify how CDSS influence ORN practices and perceptions within the operating room environment.

Main Methods:

• A systematic search of relevant databases was performed.
• Three studies published over the last 20 years were analyzed.
• A qualitative synthesis of findings was conducted to understand the impact and perception of CDSS.

Main Results:

• CDSS demonstrated a positive influence on certain aspects of patient care within the operating room.
• Operating Room Nurses (ORN) generally perceive CDSS as supplementary tools, not central to their decision-making processes.
• The overall impact of CDSS on ORN's critical decision-making was found to be limited in the reviewed studies.

Conclusions:

• While CDSS offer some advantages, they are not currently perceived as pivotal by ORN.
• Effective customization of CDSS requires a deeper understanding of the unique decision-making processes of Operating Room Nurses.
• Future CDSS development should focus on better integration into ORN workflows to enhance their impact.