title: Nurses' Use of Computerized Clinical Guidelines to Improve Patient Safety in Hospitals.
abstract: Computerized clinical guidelines are frequently used to translate research into evidence-based behavioral practices and to improve patient outcomes. The purpose of this integrative review is to summarize the factors influencing nurses' use of computerized clinical guidelines and the effects of nurses' use of computerized clinical guidelines on patient safety improvements in hospitals. The Embase, Medline Complete, and Cochrane databases were searched for relevant literature published from 2000 to January 2013. The matrix method was used, and a total of 16 papers were included in the final review. The studies were assessed for quality with the Critical Appraisal Skills Program. The studies focused on nurses' adherence to guidelines and on improved patient care and patient outcomes as benefits of using computerized clinical guidelines. The nurses' use of computerized clinical guidelines demonstrated improvements in care processes; however, the evidence for an effect of computerized clinical guidelines on patient safety remains limited.
authors.affiliation: University of Agder, Grimstad, Norway Innlandet Hospital Trust, Norway Birgit.Hovde@sykehuset-innlandet.no.
authors.forename: Birgit
authors.initials: B
authors.lastname: Hovde
authors.affiliation: University of Agder, Grimstad, Norway.
authors.forename: Kari H
authors.initials: KH
authors.lastname: Jensen
authors.affiliation: University of Missouri, Columbia, USA.
authors.forename: Gregory L
authors.initials: GL
authors.lastname: Alexander
authors.affiliation: University of Agder, Grimstad, Norway Deakin University, Melbourne, Australia.
authors.forename: Mariann
authors.initials: M
authors.lastname: Fossum
mesh_terms: D019983:Guideline Adherence / Q000592:standards*; D006761:Hospitals; D006801:Humans; D009726:Nurses / Q000523:psychology*; D061214:Patient Safety / Q000592:standards*; D017410:Practice Guidelines as Topic
keywords: clinical guidelines; computerized guidelines; hospital; integrative review; nursing