Assignment: Clinical Decision Support Systems
Sample Answer for Assignment: Clinical Decision Support Systems Included After Question
Assignment Clinical Decision Support Systems
The clinical decision support systems (CDSS) are computer-based programs that analyze data within EHRs and give prompts and reminders to help health care providers in implementing evidence-based clinical guidelines at the point of care. They are primarily utilized at the point-of-care, for providers to combine their knowledge with information or suggestions provided by the system (Sutton et al., 2020). It is aimed at improving healthcare delivery by facilitating medical decisions with targeted clinical knowledge, patient information, and other health information. The purpose of this assignment is to explore the pros and cons of the CDSS.
| PROS | CONS |
| Promotes patient safety.
The CDSS has alerts that inform the clinician of potential adverse drug events that may transpire with a particular drug prescribed to a patient. Medication-related CDS tools also help to lower medication errors thus promoting patient safety. |
The CDSS is seen as a threat to clinicians’ clinical autonomy.
Clinicians feel threatened by the clinical reminders, which elicit fear that one is losing autonomy and freedom of choice in the presence of the CDSS (Khairat et al., 2018). In addition, clinicians may develop the perception that the CDSS is meant to replace or degrade their clinical roles. |
| Lowers the rate of misdiagnosis.
The CDSS includes computerized clinical guidelines and diagnostic support that help clinicians in making clinical diagnoses. Thus reduces the chances of misdiagnosing patients. |
CDSS is expensive to adopt, maintain, and support.
The expenses associated with purchasing and maintaining the CDSS locks out some facilities from adopting it. |
| Improves efficiency of patient care delivery.
The CDSS analyzes data within the EHR. As a result, it provides prompts and reminders that assist health care providers in implementing evidence-based clinical guidelines at the point of care, thus improving efficiency in delivering care (Khairat et al., 2018). The CDSS also offer accurate diagnosis and dosage, which saves time. |
The CDSS is associated with alert fatigue.
Not every alert made by CDSS is usually correct. This means that clinicians might struggle with alert-related fatigue. Besides, there are always some possibilities of low-value prompts and alerts (Khairat et al., 2018). |
| Increased quality of care and enhanced health outcomes.
The CDSS provides information on treatment protocols, prompts questions on medication adherence, and provides tailored recommendations for health behavior changes (Khairat et al., 2018). This improves the quality of care provided to patients, especially, those with chronic illnesses and enhances their health outcomes. |
Failure to detect medication errors.
If the CDSS is not implemented correctly, it may fail to identify medication errors, which can puts patients at risk (Sutton et al., 2020). |
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Clinical Patient and Scenario
A male adult patient comes to the psychiatric clinic with a severely elevated mood and symptoms suggesting mania. The patient’s
relative mentions that he usually gets episodes of severely elevated mood whereby he is overactive. However, these periods last for one to two weeks, and the patient gets into a depressed mood. The CDSS, in this case, will be used to ensure that the PMHNP has made the correct psychiatric diagnosis of Bipolar disorder through the computerized DSM V in the system, which will lower the possibility of a misdiagnosis. In addition, the CDSS automated clinical guidelines will be used to identify the recommended medications to prescribe to a patient based on his age and severity of psychiatric symptoms. The CDSS will influence the drug prescribed based on the potential adverse drug events that the system will alert the PMHNP for each drug option. The drug with the least side effects and greatest benefit will be selected for this patient.
Assignment: Clinical Decision Support Systems References
Khairat, S., Marc, D., Crosby, W., & Al Sanousi, A. (2018). Reasons For Physicians Not Adopting Clinical Decision Support Systems: Critical Analysis. JMIR medical informatics, 6(2), e24. https://doi.org/10.2196/medinform.8912
Sutton, R. T., Pincock, D., Baumgart, D. C., Sadowski, D. C., Fedorak, R. N., & Kroeker, K. I. (2020). An overview of clinical decision support systems: benefits, risks, and strategies for success. NPJ digital medicine, 3(1), 1-10. https://doi.org/10.1038/s41746-020-0221-y
Requirements:
Post a written response in the discussion forum to EACH threaded discussion topic:
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 (psychiatric mental health nurse practitioner) and create a clinical patient and scenario to illustrate an exemplary depiction of how a CDSS might influence your decision. This post is an opportunity for you to be innovative, so have fun!
Adhere to the following guidelines regarding quality for the threaded discussions in Canvas:
Application of Course Knowledge: Demonstrate the ability to analyze, synthesize, and/or apply principles and concepts learned in the course lesson and outside readings.
Scholarliness and Scholarly Sources: Demonstrates achievement of scholarly inquiry for professional and academic decisions using valid, relevant, and reliable outside scholarly source to contribute to the discussion thread.
Writing Mechanics: Grammar, spelling, syntax, and punctuation are accurate. In-text and reference citations should be formatted using correct APA guidelines.
Direct Quotes: Good writing calls for the limited use of direct quotes. Direct quotes in discussions are to be limited to one short quotation (not to exceed 15 words). The quote must add substantively to the discussion. Points will be deducted under the grammar, syntax, APA category.