Apr 16, 2026
Effect of Electronic Nursing Documentation Systems on Documentation Completeness and Patient Safety Outcomes: A Systematic Review and Meta-Analysis
- Hassan Aljomaie1,
- Ibrahim Alakleby1
- 1King Saud University
Protocol Citation: Hassan Aljomaie, Ibrahim Alakleby 2026. Effect of Electronic Nursing Documentation Systems on Documentation Completeness and Patient Safety Outcomes: A Systematic Review and Meta-Analysis. protocols.io https://dx.doi.org/10.17504/protocols.io.dm6gp7k81gzp/v1
License: This is an open access protocol distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited
Protocol status: Working
We use this protocol and it's working
Created: April 16, 2026
Last Modified: April 16, 2026
Protocol Integer ID: 315113
Keywords: nursing, electronic documentation, EHR, EMR, eMAR, documentation completeness, patient safety, medication errors, electronic nursing documentation, effect of electronic nursing documentation system, analysis electronic nursing documentation system, electronic nursing documentation system, measurable outcomes such as documentation completeness, documentation completeness, systematic review, accessibility of patient information, patient safety outcome, specific documentation, general ehr use, outcomes such as care quality, patient information, patient safety indicator, care quality
Disclaimer
The authors declare that there are no conflicts of interest related to this review.
Abstract
Electronic nursing documentation systems are widely implemented to improve the quality, completeness, and accessibility of patient information. However, evidence regarding their measurable impact remains inconsistent. Previous reviews are largely narrative and lack quantitative synthesis. Many studies focus on general EHR use rather than nursing-specific documentation, and outcomes such as care quality are inconsistently defined. This review aims to provide a systematic synthesis with limited meta-analysis focusing on measurable outcomes such as documentation completeness and patient safety indicators.
Review Stage
Formal screening of search results against eligibility criteria.
Data Management
Records managed via reference software; screening and extraction conducted independently by two reviewers using standardized forms.
Risk of Bias
ROBINS-I for non-randomized studies and Cochrane RoB 2 for randomized studies.
Data Synthesis
Random-effects meta-analysis using OR and SMD where applicable; otherwise narrative synthesis.
Subgroup Analysis
By outcome type and study design where sufficient data are available.
Sensitivity Analysis
Excluding high risk of bias and borderline studies where applicable.
Language Restriction
English language only.
Country
Saudi Arabia.
Dissemination
Results will be published in a peer-reviewed journal and presented at conferences.
Acknowledgements
This review has not received any external funding or institutional support.
**Author Contributions**
Hassan Aljomaie will conceive the study, develop the protocol, design the search strategy, and lead the review process.
Ibrahim Alakleby will participate in screening, data extraction, risk of bias assessment, and manuscript review.