Impact Evaluation of Errors in Documentation on the Healthcare System: A Systematic Review

SyStematic Review MethodsOur interprofessional study team initiated a systematic evaluation that started with an in-depth bibliographic search addressing the question: "What are the health system-wide ramifications of documentation errors and their consequences?"We engaged with IntroductIonThe best example of 'self-service' contributing to clinical errors is the healthcare industry, where accurate or even complete information related to patients is left undocumented.These mistakes and oversights lead to lower quality of care and often cause problems because patient history, treatment plans, and prescription orders are misunderstood.In hospitals, the frequency of mistakes related to paperwork is particularly high.Instead of traditional handwritten forms, the implementation of information systems for documentation improves the efficiency of processing documentation.Prescription errors are bound to come up even though there is improved technology for doctors.When writing prescriptions, the focus should be on creating and using a digital system that specifically addresses serious patient safety problems.An advanced clinical decision support system should integrate a pharmacist into the CPOE system to enhance safety.We need to address the legal, medical, and quality control issues associated with investigation errors.The emphasis and reasoning in our review focused on the identification of gaps within the documentation processes at different levels of the healthcare system and ways to address them.To accomplish this, changes were designed and proposed to the scaffolding and implementation of documentation mistakes and their consequences using contextual responsiveness, healthcare personnel capacity building, communication, and PRISMA reporting guidelines.