Effects of a computerized decision support system on pressure ulcers and malnutrition in nursing homes for the elderly

Mariann Fossuma,b,∗, Gregory L. Alexanderc, Margareta Ehnforsa, Anna Ehrenbergd
a School of Health and Medical Sciences, Örebro University, Örebro, Sweden
b Centre for Caring Research – Southern Norway, Faculty of Health and Sport Sciences, University of Agder, Grimstad, Norway
c Sinclair School of Nursing, University of Missouri, Columbia, USA
d School of Health and Social Studies, Dalarna University, Falun, Sweden


a b s t r a c t
Background: Computerized decision support systems (CDSSs) have been shownto help health
care professionals to avoid errors and improve clinical practice and efficiency in health care.
Little is known about its influence on nursing practice and outcomes for residents in nursing
homes.
Aim: The aim of this study was to evaluate the effects on the risk for and prevalence of
pressure ulcers (PUs) and malnutrition of implementing a CDSS to improve prevention and
care of PUs and also to improve nutrition in the elderly in nursing homes.
Design setting and participants: The study used a quasi-experimental design with two intervention
groups and one control group. A convenience sample of residents from46 units in 15
nursing homes in rural areas in Norway was included. A total of 491 residents participated
at baseline in 2007 and 480 residents at follow-up in 2009.


Keywords:
Computerized
Decision support system
Electronic health record
Intervention
Malnutrition
Nursing home
Pressure ulcer
Risk assessment

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• İngilizce Endüstri Mühendisliği, Gazi Üniversitesi, Ankara
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• 6 Yıl Amerika Birleşik Devletleri'nde eğitim ve kültürel uyum tecrübesi bulunmaktadır.
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