Impact of EHR on Nursing Documentation Quality and Patient Outcomes-Long Term Analysis
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- Category: Vol. 85, December 2017
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Impact of EHR on Nursing Documentation Quality and Patient Outcomes-Long Term Analysis
Abstract
Background: As the global population ages and chronic conditions become more prevalent, the demand for long-term care (LTC) services increases. Electronic Health Records (EHRs) offer potential improvements in documentation quality and patient outcomes in LTC settings. Aim: This systematic review examines the impact of EHRs on nursing documentation quality and patient outcomes in LTC facilities, focusing on long-term effects. Methods: Following the PRISMA framework and AM-STAR criteria, a comprehensive search was conducted across CINAHL, PubMed, and MEDLINE. The review included peer-reviewed studies from the past decade, assessing the efficacy, quality, and efficiency of EHRs in LTC settings. A total of 28 studies were included in the analysis. Results: The review revealed that EHRs generally improve documentation quality and patient outcomes. Positive impacts were noted in clinical documentation, medication safety, and care coordination. However, challenges such as high costs, increased documentation time, and variable staff satisfaction were also identified. Conclusion: EHRs offer significant benefits in improving the quality of care and operational efficiency in LTC facilities. Despite these advantages, the adoption of EHRs is hindered by financial and practical challenges. Addressing these barri-ers through strategic planning and policy support is crucial for realizing the full potential of EHRs in LTC settings.