title: The organizational and clinical impact of integrating bedside equipment to an information system: a systematic literature review of patient data management systems (PDMS).
abstract: OBJECTIVE
  The introduction of an information system integrated to bedside equipment requires significant financial and resource investment; therefore understanding the potential impact is beneficial for decision-makers. However, no systematic literature reviews (SLRs) focus on this topic. This SLR aims to gather evidence on the impact of the aforementioned system, also known as a patient data management system (PDMS) on both organizational and clinical outcomes.
  
  
  METHODS
  A literature search was performed using the databases Medline/PubMed and CINHAL for English articles published between January 2000 and December 2012. A quality assessment was performed on articles deemed relevant for the SLR.
  
  
  RESULTS
  Eighteen articles were included in the SLR. Sixteen articles investigated the impact of a PDMS on the organizational outcomes, comprising descriptive, quantitative and qualitative studies. A PDMS was found to reduce the charting time, increase the time spent on direct patient care and reduce the occurrence of errors. Only two articles investigated the clinical impact of a PDMS. Both reported an improvement in clinical outcomes when a PDMS was integrated with a clinical decision support system (CDSS).
  
  
  CONCLUSIONS
  A PDMS has shown to offer many advantages in both the efficiency and the quality of care delivered to the patient. In addition, a PDMS integrated to a CDSS may improve clinical outcomes, although further studies are required for validation.
authors.affiliation: Department of Information, Communication and Medical Technology (ICMT), Catharina Hospital, PO Box 1350, 5602ZA Eindhoven, The Netherlands.
authors.forename: Amy
authors.initials: A
authors.lastname: Cheung
authors.affiliation: Department of Information, Communication and Medical Technology (ICMT), Catharina Hospital, PO Box 1350, 5602ZA Eindhoven, The Netherlands; Department of Radiology & Nuclear Medicine, VU University Medical Center, PO Box 7057, 1007MB Amsterdam, The Netherlands. Electronic address: f.vvelden@vumc.nl.
authors.forename: Floris H P
authors.initials: FH
authors.lastname: van Velden
authors.affiliation: Department of Information, Communication and Medical Technology (ICMT), Catharina Hospital, PO Box 1350, 5602ZA Eindhoven, The Netherlands.
authors.forename: Vera
authors.initials: V
authors.lastname: Lagerburg
authors.affiliation: Department of, Medical Spectrum Twente, PO Box 50000, 7500 KA, Enschede, The Netherlands.
authors.forename: Niels
authors.initials: N
authors.lastname: Minderman
mesh_terms: D003422:Critical Care; D020000:Decision Support Systems, Clinical / Q000706:statistics & numerical data; D017598:Efficiency, Organizational; D015276:Health Care Rationing; D066275:Health Information Exchange; D006761:Hospitals; D006801:Humans; D019300:Medical Errors; D019095:Point-of-Care Systems / Q000706:statistics & numerical data; D057188:Workflow
keywords: Bedside equipment; Clinical decision support systems (CDSS); Computer information system (CIS); Intensive care; Patient data management system (PDMS)