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Data collection later used a generic XML-based data set (see below), as the XML technology enables data to be collected from different types of documentation systems.
The current study contributes to the evidence base on the relationship of documentation systems to clinical care for a couple of reasons.
A more thorough treatment of the impact of systems on note quality would require a focused study on this question in settings that use a variety of documentation systems.
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The type of documentation system a facility had i.e. mainly paper, mostly computer or nearly paperless, was not associated with when staff entered information into the system.
Since there is no systematic documentation of ADEs in medical records, partly due to limitations of the documentation systems [ 59, 60], review of such records lacks a standardized and reliable method to search for ADEs [ 61].
The wide-spread use of electronic documentation systems makes large amounts of patient data available.
We were therefore interested whether there were any changes over the course of the time in the percentage of nursing documentation systems installed and if yes whether they would be parallel in both countries.
This was not due to an insufficiency of the documentation systems but rather to the nature of the required characteristics itself.
For example, a) time efficiency resulting from the improvement of documentation quality is a deciding factor for the implementation of electronic documentation systems in hospitals [ 12] and nursing homes [ 3, 13].
The higher prevalence of nursing documentation systems in Austria goes well with the wide use of the NANDA taxonomy and other controlled vocabularies in Austria, because only electronic systems provide a suitable method for coding clinical data.
We speculate that the widespread use of computerized documentation systems giving better access to clinical data will improve clinician's ability to evaluate outcomes and improve care.
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