Does electronic medical record redesign increase screening of risk for pressure injury, falls and substance use in the Emergency Department? An implementation evaluation

Barriers and enablers to nurses' use of harm prevention strategies for older patients in hospital: A cross‐sectional survey

“…A technology‐enabled intervention can assist nurses curate the high volume of information and the complexity of synthesis required to guide individual care (Greenhalgh et al, 2018 ); a mnemonic or checklist can assist nurses order or prioritize workflows and prompt recall to avoid gaps; and visual displays provide feedback loops and mechanisms for measurement and monitoring change (Lin, Tsan, et al, 2020 ). Findings also support the need to consider flexibility for tailoring an intervention to suit the local context and setting of implementation (Curtis et al, 2021 ; Lin, Tsan, et al, 2020 ; Pfadenhauer et al, 2017 ).…”

“…Findings also support the need to consider flexibility for tailoring an intervention to suit the local context and setting of implementation (Curtis et al, 2021;Lin, Tsan, et al, 2020;Pfadenhauer et al, 2017).…”

“…Persuasion interventions, using communication to prompt feelings that stimulate actions (Michie et al, 2013 ), have successfully targeted nurse patient safety behaviours including use of mnemonics and checklists (Lin, Tsan, et al, 2020 ), technology‐enabled data views, prompts and reminders (Bell et al, 2016 ; Lang et al, 2019 ; McCance et al, 2020 ) and redesigning nursing documentation (Curtis et al, 2021 ; Longhini et al, 2020 ). Modelling strategies, such as using local opinion leaders, experts or clinical champions to support practice change are widely reported, however evidence of effectiveness with nurses is at best modest.…”

“…Modelling strategies, such as using local opinion leaders, experts or clinical champions to support practice change are widely reported, however evidence of effectiveness with nurses is at best modest. Again, these strategies appear to be most effective when combined with complementary interventions (Curtis et al, 2021 ; Lin, Marshall, et al, 2020 ; Lin, Tsan, et al, 2020 ). Strategies to improve nurse patient safety behaviours using coercion and/or incentivization (i.e.…”

Intervenções do enfermeiro no atendimento seguro ao paciente crítico na emergência: uma revisão integrativa

“…Também é possível criar ferramentas, utilizando protocolos já existentes, como foi feito em um hospital na Austrália, onde foi implementada uma lista eletrônica para a realização de triagem dos pacientes de emergência com foco em quedas utilizando o Ontário Modified Stratify (Sydney Scoring) Falls Risk Screening da OMS, lesão por pressão (escala de Waterlow) e uso de substâncias, fatores esses que levavam pacientes a internação. Essa triagem utilizada pelos enfermeiros possibilitou uma avaliação dos pacientes com monitoração contínua, o que gera a um feedback positivo e possibilita a identificação de possíveis eventos adversos [17][18][19] .…”