Discussion: Clinical Decision Support Systems
Discussion: Clinical Decision Support Systems
This week we learned about the potential benefits and drawbacks to clinical decision support systems (CDSSs). Create a “Pros†versus “Cons†table with a column for “Pro†and a separate column for “Conâ€. Include at least 3 items for each column. Next to each item, provide a brief rationale as to why you included it on the respective list.
The primary goal of a CDSS is to leverage data and the scientific evidence to help guide appropriate decision making. CDSSs directly assist the clinician in making decisions about specific patients. For this discussion thread post, you are to assume your future role as an APN and create a clinical patient and scenario to illustrate an exemplary depiction of how a CDSS might influence your decision.
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Clinical Decision Support Systems
The Clinical Decision Support Systems (CDSS) is a technology application that analyzes data to assist healthcare providers in making decisions and improving patient care. It aims to improve healthcare delivery by enhancing clinical decisions by incorporating clinical knowledge, patient information, and other health information. The purpose of this assignment is to outline the pros and cons of the CDSS.
[elementor-template id="165244"]| PROS | CONS |
| Ø Improves efficiency of clinical care.
· The CDSS helps clinicians to be more efficient and finish tasks fast. · It provides clinicians with suggestions that assist them in complex decision-making processes (Mebrahtu et al., 2021).
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Ø The CDSS must integrate with the clinical workflow of a healthcare organization, which is usually complex.
Ø Incorporating large volumes of data into existing systems significantly strains application and infrastructure maintenance (Muhiyaddin et al., 2020).
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| Ø Leads to improved prescribing behavior.
· The CDSS has computerized clinical guidelines that guide clinicians in making treatment decisions. · This promotes appropriate prescribing and reduces prescription errors resulting in improved patient safety (Mebrahtu et al., 2021).
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Ø CDSS is associated with alert fatigue for clinicians.
· The CDSS triggers alerts, which can overwhelm clinicians who receive prompts from other technology systems. · Some of the alerts created are usually low-value prompts and alerts. |
| Ø Leads to cost-saving in healthcare.
· The CDSS notifies the clinician of duplication of tests and medical procedures. · This decreases the number of ordered tests and medical imaging, thus saving costs (Mebrahtu et al., 2021).
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Ø The CDSS can result in inefficient documentation.
· Clinicians have reported that it takes them a long time to document using CDSS, which is inefficient (Muhiyaddin et al., 2020).
|
Clinical Patient and Scenario
A 67-year-old AA female patient with a history of hypertension, hyperlipidemia, obesity, and type 2 diabetes presents to the clinic with reports of elevated blood sugar levels based on her self-screening tests. The patient is on multiple medications, including Atorvastatin, HCTZ, Nifedipine, and Metformin. As an APN, I will use the CDSS to guide me in managing uncontrolled diabetes in patients with comorbid chronic illnesses. The CDSS will suggest the medication that should be added or stopped in the treatment plan to improve glycemic levels while avoiding drug-to-drug interactions to promote patient safety. The CDSS will provide information on the potential side effects of each drug I want to prescribe and how the drugs may affect the mechanism of action of each other.
References
Mebrahtu, T. F., Skyrme, S., Randell, R., Keenan, A. M., Bloor, K., Yang, H., Andre, D., Ledward, A., King, H., & Thompson, C. (2021). Effects of computerized clinical decision support systems (CDSS) on nursing and allied health professional performance and patient outcomes: a systematic review of experimental and observational studies. BMJ open, 11(12), e053886. https://doi.org/10.1136/bmjopen-2021-053886
Muhiyaddin, R., Abd-Alrazaq, A. A., Househ, M., Alam, T., & Shah, Z. (2020). The Impact of Clinical Decision Support Systems (CDSS) on Physicians: A Scoping Review. Studies in health technology and informatics, pp. 272, 470–473. https://doi.org/10.3233/SHTI200597
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