Department of Health Sciences, University of York, Heslington, York YO10 5DD, UK.
J Nurs Manag. 2009 Nov;17(7):772-80. doi: 10.1111/j.1365-2834.2009.00986.x.
To examine the characteristics of computerized decision support systems (CDSS) currently available to nurses working in the National Health Service (NHS) in England.
A questionnaire survey sent to a stratified random sample of 50% of all NHS care providers (Trusts) in England, asking respondents to provide information on CDSS currently used by nurses.
Responses were received from 108 of the 277 Trusts included in the sample. Electronic patient record systems were the most common type of CDSS reported by Trusts (n = 61) but they were least likely to have features that have been associated with improved clinical outcomes.
The availability of CDSS with features that have been associated with improved patient outcomes for nurses in the NHS in England is limited. There is some evidence that the nature of the Trust affects whether or not nurses have access to CDSS to assist their decision making.
The implementation of CDSS is increasing throughout the NHS. Many CDSS are introduced without adequate evidence to support its introduction and there is little evaluation of the benefits once they are implemented. Policy makers and nursing management should consider whether the introduction of CDSS aids nurse decision making and benefits patient outcomes.
研究目前在英格兰国民保健服务（NHS）工作的护士可使用的计算机化决策支持系统（CDSS）的特点。
向英格兰所有 NHS 提供者（信托）的 50%进行分层随机抽样的问卷调查，要求受访者提供有关护士目前使用的 CDSS 的信息。
从样本中的 277 个信托中收到了 108 个响应。电子病历系统是信托报告的最常见类型的 CDSS（n=61），但它们最不可能具有与改善临床结果相关的功能。
在英格兰 NHS 中，具有与改善患者结果相关的功能的 CDSS 对护士的可用性有限。有一些证据表明，信托的性质会影响护士是否可以使用 CDSS 来协助他们做出决策。
在整个 NHS 中，CDSS 的实施正在增加。许多 CDSS 在没有足够证据支持其引入的情况下引入，并且在实施后很少对其收益进行评估。政策制定者和护理管理人员应考虑引入 CDSS 是否有助于护士做出决策并有益于患者的结果。
