Projects per year
Materials and Methods: We conducted a systematic review in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement. PubMed, CINAHL, Cochrane, Embase, Scopus, and Web of Science were searched from January 2014 to April 2020 for studies focusing on DSSs used exclusively by nurses and their effects. Information about the stages of automation (information acquisition, information analysis, decision and action selection, and action implementation), NCP, and effects was assessed.
Results: Of 1019 articles retrieved, 28 met the inclusion criteria, each studying a unique DSS. Most DSSs were concerned with two NCP steps: assessment (82%) and intervention (86%). In terms of automation, all included DSSs automated information analysis and decision selection. Five DSSs automated information acquisition and only one automated action implementation. Effects on decision making, care delivery, and patient outcome were mixed. DSSs improved compliance with recommendations and reduced decision time, but impacts were not always sustainable. There were improvements in evidence-based practice, but impact on patient outcomes was mixed.
Conclusions: Current nursing DSSs do not adequately support the NCP and have limited automation. There remain many opportunities to enhance automation, especially at the stage of information acquisition. Further research is needed to understand how automation within the NCP can improve nurses’ decision making, care delivery, and patient outcomes.
|Number of pages||12|
|Journal||Journal of the American Medical Informatics Association : JAMIA|
|Early online date||8 Sep 2021|
|Publication status||Published - Nov 2021|
- clinical decision support systems
- nursing informatics
- patient safety
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Coiera, E., Glasziou, P., Hansen, D., Magrabi, F., Sintchenko, V., Verspoor, K., Gallego-Luxan, B., Lau, A., Dunn, A., Longhurst, C., Tsafnat, G., Cutler, H., Makeham, M., Shaw, T., Shah, N., Runciman, W. & Liaw, S. T.
1/01/18 → 31/12/22