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Case study clinical decision support system
Case study clinical decision support system
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Clinical Decision Support is the process of applying health-related decisions and actions with appropriate and systematized clinical knowledge and patient information in order to improve quality, safety, and efficiency of healthcare delivery (Campbell, 2013). The system designed to provide physicians and other healthcare professionals with clinical decision support (CDS) in order to assist with clinical decision making is known as Clinical Decision Support System (CDSS). CDS has the ability to significantly impact improvements in quality, safety, efficiency, and effectiveness of health care (AHRQ, 2016). AHRQ has launched a new initiative to circulate and implement patient centered outcomes research (PCOR) findings through CDS which will promote …show more content…
According to healthit.gov (2013), CDS is a sophisticated health IT component and requires compatible biomedical knowledge, person-specific data, and a reasoning and inferencing mechanism that combines knowledge and data to generate and prevent helpful information to clinicians as care is being delivered.
CDSS links patient data with an electronic knowledge base in order to improve decision-making and improve the health care they deliver. The knowledge base is a database for storing knowledge in a suitable form depending on its use. The computerized physician order entry (CPOE) is a requirement to set up electronic CDS (Beeler, Bates, & Hug, 2014). CDSS serves to provide clinicians, hospital staffs, patients, or other individuals with person-specific data and information and logically filters at appropriate times thereby improving health and enhancing health care. Some of the benefits of CDS discussed by healthit.gov (2013) include: increased quality of care and enhanced health outcomes, avoidance of errors and adverse events, improved efficiency, cost-benefit, provider and patient satisfaction, etc. Similarly, Beeler, Bates, and Hug (2014) have discussed some applications of CDS such as: improving processes,
Computerized Physician Order Entry (CPOE), is also known as Computerized Provider Order Management (CPOM). CPOE is a process of automated or electronic entry record of health care physician on different types of instructions on how to treat patients, especially patients that are hospitalized under a physician’s care. CPOE is one of the most remarkable system that is being used in the healthcare system to effectively reduce the amount of medication errors. The University of Health Care System might be in the process of rolling out the CPOE portion out of the EMR project, however, they did not do a thorough investigation on what CPOE is and whether or not it would have a positive impact on the EMR project. They should have not taken the step to start the project without already knowing the basics of CPOE. They might have had thought that since it is a computerized system everything would turn out okay and there would not be any problems. However, they fall short to recognize that the user’s knowledge and experience with using the CPOE system would have a significant influence on the effectiveness and productivity of the actual system.
Generally, the development and adoption of Clinical Decision Support (CDS) systems is based on the necessity and essence of technical standards in enhancing healthcare. However, the various health IT tools must comply with some data interchange standards in order to enhance access to clinical records, lessen clinical errors and risks to patient safety, and promote innovation in “individual-based” care (Hammond, Jaffe & Kush, 2009, p.44). The need for compliance with standards is fueled by their role in enabling aggregation of informa...
• Provides a basic level of interoperability among electronic health records (EHRs) maintained by individual physicians and organizations
...f clinical information systems in health care quality improvement. The Health Care Manager. 25(3): 206-212.
Unfortunately, the quality of health care in America is flawed. Information technology (IT) offers the potential to address the industry’s most pressing dilemmas: care fragmentation, medical errors, and rising costs. The leading example of this is the electronic health record (EHR). An EHR, as explained by HealthIT.gov (n.d.), is a digital version of a patient’s paper chart. It includes, but is not limited to, medical history, diagnoses, medications, and treatment plans. The EHR, then, serves as a resource that aids clinicians in decision-making by providing comprehensive patient information.
Currently, we use the electronic health record system called Computer Programs and Systems, Inc. (CPSI). CPSI is “a l...
The implementation of the Clinical Decision Support System (CDSS) was to allow physicians the ability diagnoses patients with the use of evidence based decisions. Physicians can explore relevant medical information through the CDSS from reliable medical experts, clinical guideline extractions and alerts of new and different phases of patient management without the interruption of the medical organization’s workflow (Chiarugi, Colantonio, Emmanouili...
The model chosen for this project is the Model for Evidence-Based Practice Change. The model consists of important guidelines tools in Evidence-based practice (EBP) that can reduce healthcare variation and improve patient outcomes (Melnyk, B. M., Gallagher‐Ford, L., Long, L. E., & Fineout‐Overholt, E., 2014). Evidence-based practice (EBP) is a problem-solving method to the delivery of health care as it combines the best evidence from well-design studies and evidence-based theories with expertise of the clinician and a patient’s preferences, values to make the best clinical decisions (Melnyk, B. M., et al. 2014). The model consists of seven steps of
This paper will showcase the major components of clinical decision support, as well at take a look what is analysis of evidence-based medicine and describe how computerized systems can be used to support evidence-based medicine practice. Clinic decision-making provides clinicians, staff, patients or other individuals with knowledge and person-specific information, intelligently filtered or presented at appropriate times, to enhance health and health care (Richardson & Ash 2011).
(6th ed.). Morrrisville: Lulu.com. Kannry, J., Sengstack, P., Thyvalikakath, T.P., Poikonen, J., Middleton, B., Payne, T., . . . Lehmann, C.U. (2016). The chief clinical informatics officer (CCIO): AMIA task force report on CCIO knowledge, education, and skillset requirements.
Over the last several years, electronic medical records are becoming more prominent in health care facilities, replacing traditional written records. As many electronics are becoming more prevalent with the invention of numerous smartphones and tablet devices, it seems that making medical records available electronically would be appropriate for the evolving times. Even though they have been in use to some extent for many years, the “Health Information Technology for Economic and Clinical Health section of the American Recovery and Reinvestment Act has brought paperless documentation into the spotlight” (Eisenberg, 2010, p. 8). The systems of electronic medical records mainly consist of clinical note taking, prescription and medication documentation,
In order to plan properly I will need the cooperation of physicians, and health information management staff. A council of CDI professionals, HIM managers, and medical staff will be convened to look into the benefits of establishing a CDI program. All the various departments listed above will have to be on the same page. The design of the CDI program should focus on providing education to HIM and physicians in proper CDI documentation procedures.
Our clinical knowledge is expanding. The researcher has first proposed the concept of electronic health record (EHR) to gather and analyze every clinical outcome. By late 1990s computer-based patient record (CPR) replaced with the term EHR (Wager et al., 2009). The process of implementing EHR occurs over a number of years. An electronic record of health-related information on individual conforms interoperability standards can create, manage and consult with the authorized health professionals (Wager et al., 2009). This information technology system electronically gather and store patient data, and supply that information as needed to the healthcare professionals, as well as a caregiver can also access, edit or input new information; this system function as a decision support tools to the health professionals. Every healthcare organization is increasingly aware of the importance of adopting EHR to improve the patient satisfaction, safety, and lowering the medical costs.
The key area of decision-making on direct patient care is intervention effectiveness, picking an intervention
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