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Case study clinical decision support system
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Problem Description: The aim of this assignment is to create a decision support system for a clinical cases. Introduction: Decision support system (DSS) is a specific class of computerized information system that designed to be used to support decision making in an organization or business. Decision support system (DSS) it is interactive computer based systems and subsystems to help decision makers to make business decisions more easily by using communication technologies, models, data and documents to identify, solve problems and complete decision process which helps decision makers to solve different problem from high structured to unstructured and semi-structured business problems. Decision support system (DSS) it helps the managers …show more content…
The introduction of such a system will give clinicians a helpful rule through which they can repeat their choices on comparable clinical cases. Besides, an effective Clinical decision support system (CDSS) can reduce the variation of clinician’s practice plans that plagues the process of medicinal services conveyance. The dynamic environment encompassing patient conclusion confuses its symptomatic procedure because of various variables in play; for instance, singular patient circumstances, the area, time and doctor's related involvements. A powerful Clinical decision support system (CDSS) decreases variety by diminishing the effects of these variables on the nature of patient consideration. Clinical decision support system (CDSS) can increase the quality of care, improve efficiency, cost benefit and avoidance of errors. clinical decision support system (CDSS) is a sophisticated health IT component. It requires computable biomedical knowledge, individual particular information, and a thinking or inference component that consolidates learning and information to produce and present supportive data to generate and present helpful information to clinicians as care is being delivered. This data must be sifted, composed and exhibited in a way that backings the present work process, permitting the client to make an informed decision quickly and take action. …show more content…
1- Reduce the risk of medication errors. Deciding precise prescription dosages for babies and kids in crisis circumstances, accurate medication information and dosing calculators, effectively available inside of the clinical workflow, can reduction in errors. 2- Reduce misdiagnoses. Decision support can drastically improve the margin of diagnostic error. 3- Provide the entire care team with consistent reliable information. 4- Finding the most relevant evidence based knowledge can be a troublesome errand, particularly when time is basic. Web search tools can return a great many results with varying degrees of relevance and reliability. regularly cannot give the answers clinicians need at the purpose of consideration. with trusted resources, it is more improbable that temperamental information will be used in clinical decision-making. 5- Access all information in one place. 6- Improve efficiency and patient throughput 7- Supporting clinical coding and documentation, authorization of procedures, and referrals. in some cases it has been found that clinical decision support system is more effective for nurses and clinicians to get the data. For timing, the most effective time to present some kinds of information may be immediately at the point of
“Technological advancements in anesthesia practice: Role of decision support system.” Anesthesia: Essays and Researches. January 8, 2014. Web. October 23, 2015. There have been many advancements in technology in the anesthesia field. A recent major advancement has been the decision support system (DSS). The decision support system acts similar to a second human central nervous system, and receives as well as relays information to and from the patient and the anesthesia information management system (AIMS). The DSS helps to maintain the data coming into and out of the patient during a medical procedure. The DSS also provides help during a medical crisis, giving the physicians a solution if an intra-operation (during the operation) crisis happens. The DSS can also design various scenarios for pre, intra, and post operation scenarios for the anesthesiologist to prepare for based on that patient’s medical history, information, and
In conclusion, clinical decision support systems provide a mechanism for improving the quality of care services when integrated with evidence-based practice and clinical guidelines. These systems would particularly improve health care quality when combined with evidence-based medicine. This process may also include the use of databases and condition-specific clinical guidelines to improve their effectiveness and efficiency.
Medication errors in children alone are alarming, but throw an ambulatory care setting into the mix and it spells disaster. When it comes to children and medication in the ambulatory care setting, the dosage range is drastically out of range compared to those that are treated in the hospital setting (Hoyle, J., Davis, A., Putman, K., Trytko, J., Fales, W. , 2011). Children are at a greater risk for dosage errors because each medication has to be calculated individually, and this can lead to more human error. The errors that are occurring are due to lack of training, dosage calculation errors, and lack of safety systems. Medication errors in children who are receiving ambulatory care can avoided by ensuring correct dosage calculation, more in-depth training of personal and safety systems in place.
Many medication errors occur due to abbreviated words symbols, and dosage that cant be read and become misunderstood. These mistakes can cause harm if no one notices it. Many patients end up with a life threatening problem due to a medical error. A nurse might give the patient the wrong dose because of the handwritten abbreviation the doctor wrote is not clear. Many abbreviations are similar and this can cause complication. If abbreviations are similar the best thing to do is write the abbreviation completely out and always ask if not sure. Providing unabbreviated prescriptions, communication, and writing all abbreviations out can reduce errors in the healthcare setting. Another consideration would be to make sure in the healthcare setting written policies are mentioned and used.
Computers have totally proliferated the world of medicine. They are used to monitor vital signs, to operate artificial hearts and to compile and store medical histories. Though not directly related to our well being, the last use is of utmost importance. Today, the use of medical databases and computer...
Precision of a patient’s intravenous medication is essential; it must be safe from. contamination, toxicity, and side effects. Most people believe these medications are compounded or mixed by a trained and licensed individual. However, this is inaccurate because the pharmacy technician actually compounds a large percentage of a patient’s medications. Compounding involves a technician’s math skills, aseptic technique, and professional ethics.... ...
Some method such as audits, chart reviews, computer monitoring, incident report, bar codes and direct patient observation can improve and decrease medication errors. Regular audits can help patient’s care and reeducate nurses in the work field to new practices. Also reporting of medication errors can help with data comparison and is a learning experience for everyone. Other avenues that has been implemented are computerized physician order entry systems or electronic prescribing (a process of electronic entry of a doctor’s instructions for the treatment of patients under his/her care which communicates these orders over a computer network to other staff or departments) responsible for fulfilling the order, and ward pharmacists can be more diligence on the prescription stage of the medication pathway. A random survey was done in hospital pharmacies on medication error documentation and actions taken against pharmacists involved. A total of 500 hospital were selected in the United States. Data collected on the number of medication error reported, what types of errors were documented and the hospital demographics. The response rate was a total of 28%. Practically, all of the hospitals had policies and procedures in place for reporting medication errors.
The Medication Administration Accuracy Project is a quality improvement project, whose purpose is to improve the accuracy of nursing medication administration. The study used for this project was to find where the most common “wrong doings” happened in the medication process and how to get rid of it. After a year of this project the medication error percent went from 4.3% in 2010 to 1.2% in 2011. The Bar Code Administration System implementation had been very successful with a 95% success rate every year that it is done. The study provided important insight on reducing the medication errors in children. Some were: making sure there are no distractions as possible, double checking medications and making sure the dose in adequate range for the child, and making sure you have two ways of identification with the bar code scanning (Hardmeier, A., Tsourounis, C., Moore, M., Abbott, W., Guglielmo, J.
Medication errors made by medical staff bring about consequences of epidemic proportions. Medical staff includes everyone from providers (medical doctors, nurse practitioners and physician assistants) to pharmacists to nurses (registered and practical). Medication errors account for almost 98,000 deaths in the United States yearly (Tzeng, Yin, & Schneider, 2013). This number only reflects the United States, a small percentage in actuality when looking at the whole world. Medical personnel must take responsibility for their actions and with this responsibility comes accountability in their duties of medication administration. Nurses play a major role in medication error prevention and education and this role distinguishes them as reporters of errors.
Errors caused by system problems can be prevented by working with your vendor to reset user preferences as needed. In order to preserve data quality and protect patient safety, it is very important that all medical records contain correct information for the safety and treatment of the patient. It is very important to note any cha...
Tzeng, H., Yin, C., & Schneider, T. E. (2013). Medication Error-Related Issues In Nursing Practice. MEDSURG Nursing, 22(1), 13-50.
Health information management involves the practice of maintaining and taking care of health records in hospitals, health insurance companies and other health institutions, by the use of electronic means (McWay 176). Storage of medical information is carried out by health information management and HIT professionals using information systems that suit the needs of these institutions. This paper answers four major questions concerning health information systems.
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.
DSS is a system which aids management in some stages in the decision process in situation where some aspects of the process are not well structured or well defined. Decision support software can assists the decision maker in each of the steps in Figure 17-1. It can signal the need for a decision through an exception report. Software can be used to accumulate and organize the data so that managment can be better understand the nature of the problem. It can be used ...
I was also responsible for monitoring medication orders and reviewing patient profiles to ensure that the proper drugs and dosages were prescribed and that the pharmacy technician had prepared them properly. In many instances there were mistakes made in the preparation phase and sometimes even before, with incorrect dosages or drugs being prescribed and prepared, which could result in serious adverse effects for the patient. A clinical pharmacist’s role, however, is to make sure that these mistakes never reach the