关于患者安全,护理质量和文档的电子护理文档:系统审查
Erna Dwi Wahyuni1, Nursalam Nursalam1, Yulis Setiya Dewi1
1Department of Nursing, Universitas Airlangga, Surabaya, Indonesia.
JPMA. The Journal of the Pakistan Medical Association
|September 16, 2024
概括
电子护理文档对患者的安全和护理质量产生了积极的影响. 标准化系统对于有效融入医疗保健机构至关重要.
科学领域:
- 医疗信息学 医疗信息学
- 护理科学 护理科学
- 患者安全研究 患者安全研究
背景情况:
- 过渡到数字健康记录需要了解电子护理文档的影响.
- 优化患者护理和安全依赖于高效和准确的文档流程.
研究的目的:
- 评估电子护理文档对患者安全的影响.
- 评估对护理服务质量的影响.
- 检查对记录过程本身的影响.
主要方法:
- 2018年至2022年间发表的英语人类研究的系统审查.
- 进行全面的数据库搜索,包括Scopus,PubMed和CINAHL.
- 使用加强流行病学观察研究报告 (STROBE) 工具进行偏差风险评估.
主要成果:
- 对15项研究的分析显示,电子护理文档与改善患者安全,护理质量和文档准确性之间存在正相关性.
- 尽管有好处,但在开发最佳的电子护理文档系统方面存在确定的缺陷.
结论:
- 电子护理文档显然提高了患者安全,护理质量和文档实践.
- 一个标准化和逻辑结构化的电子护理文档系统对于成功的临床整合至关重要.
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