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Clinical decision support system framework
Clinical decision support system framework
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In this time and age, the use of technology in delivery of healthcare has become a target for many healthcare institutions owing to the benefits that these technologies have on the quality of healthcare that patients are receive. Examples include Electronic Medical Records and Electronic Health Records which help in management of patient data. In the recent past, healthcare providers have been making clinical decisions based on their personal reasoning but the innovation of the clinical decision support system (CDSS) has brought about changes in the process of making decisions by the nurses. Berner (2014) defines clinical decision support system as a technology that provides healthcare providers in the clinical settings with real-time information …show more content…
In partnership with the National Decision Support Company (NDSC), they have developed a tool that helps in ordering of laboratory tests to avoid duplication of unnecessary or excessive tests. This was implemented in 2017 and the system was made available to all the healthcare providers through the electronic health records (EHR) system. The technology is known as CareSelect Lab and it is designed to collect clinical knowledge relating to patient conditions and then offering the best recommendations that would help in improving the patients care while cutting down the costs through accurate and appropriate tests while dismissing unnecessary tests. The rationale behind developing the use of this technology is because research has shown that conducting excess laboratory tests can be harmful to the patients’ health. The CareSelect tool has been integrated in the hospitals EHR system (EHR Intelligence, …show more content…
The rapid change of healthcare industry, rising of medication errors, growing usage of big data, and growing adoption of cloud computing in healthcare are major factors that lead to the growth of adaption CDSS. Markets and Markets (2018) has done research that demonstrates the adoption of CDSS around the world. Statistics show that 32 percent of healthcare organizations adapt CDSS in North America, 26 percent in Europe, and 24 percent in the Asia Pacific, while the rest of the world represents 18 percent only. Moreover, United States spent USD 901.0 Million in 2017 for CDSS; this amount could increase to USD 1,752.0 Million by
Similar to Global Positioning Systems (GPS) provide drivers with directions, detours, alternative routes, and alerts, Clinical Decision Support (CDS) systems provide health care professionals with guidance for important decisions associated with patient care. These systems have many capabilities including synthesizing patient information, suggesting diagnostic tests, providing alerts for life-threatening situations, recommending treatment options, and providing relevant evidence and best practices. Nonetheless, just as GPSs, CDS systems are not usually perfect as evident in the ongoing evolution of their design specifications and functionalities. Some of the major issues that are still evolving for CDS systems include alert fatigue and integration of evidence-based practice (EBP) resources and clinical guidelines. One of the major areas that can benefit from the adoption and integration of clinical decision support systems is community health nursing. These systems can be used together with evidence-based medicine to help improve the quality of health and patient care in community health nursing.
First, this text will discuss some background on Labcorp to form a better understanding of the business, and the practices used. Labcorp is one of the largest clinical Laboratories in the world, which includes many wholly owned subsidiaries. The Laboratory Corporation of America (2013) website LabCorp has over 220,000 clients and process over 400,000 samples per day. LabCorp uses an innovative clinical laboratory processing, referral, and specimen testing information systems to create fluent, and easy to use specimen processing and testing. This process has developed through time, and LabCorp has grown into a robust multi- laboratory testing facilities through the buyout, and absorption of numerous specialty laboratories. As the buyout of subsidiaries has been a large part of the growth of this business, information technology had to grow along side, as the connection between all sites became critical for survival, to keep the stance of a premier multifunctional Laboratory tycoon (Laboratory Corporation of America, 2013).
Introduction “Health informatics is the science that underlies the academic investigation and practical application of computing and communications technology to healthcare, health education and biomedical research” (UofV, 2012). This broad area of inquiry incorporates the design and optimization of information systems that support clinical practice, public health and research; understanding and optimizing the way in which biomedical data and information systems are used for decision-making; and using communications and computing technology to better educate healthcare providers, researchers and consumers. Although there are many benefits of bringing in electronic health systems there are glaring issues that associate with these systems. The
[15]Garg AX, Adhikari NK, Mcdonald H, (2005) Effects of computerized clinical decision support systems on practitioner performance and patient outcomes: a systematic review. JAMA. 293(10): 1223-1238.
It was just yesterday when Electronic health records was just introduced in healthcare industry. People were not ready to accept it due to higher cost and consumption of time associated in training people and adopting new technology. Despite of all this criticism, use of Internet and Electronic Health records are now gaining its popularity among health care professionals, as it is the most effective way to communicate with patient and colleagues. More and more hospitals and clinics are getting rid of paper base filling system and investing in cloud base storage.
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...
A major component of clinical decision support system is it helps locate and prevent errors made by many providers. Other components of a clinical decision- support system are speed- this can make or break at system, it is very annoying if you have to set and wait for the system to perform a simple function as looking up information, the need and delivery of real time- if there is lag time and the information needed doesn’t appear in seconds it can pose as the system is not performing up to par, fit of the users work –flow- the alerts, guidelines, and algorithms need to be in place so there are no confusions when a users are dispersing medications, usability- this makes a tremendous difference in how a system performs many clinician want to be able to use a computer system with ease, if the system is to complicated it can appear as not user friendly, being aware that there will be resistances from the provider- offend many providers will give pushback on changing there mind without input as to way a change is required; for example should x-rays be taking on all patients with abdomen pain, approximately five percent of physician actually went with the recommendation of not ordering x-rays on patie...
Nurses are fundamental to the process of implementation of certain systems used in the workplace. Nurses should be allowed to have input and suggestions regarding what works and what doesn’t when it comes to those systems, whether it is the EMR, healthcare organization systems, or even the use of point of care systems (Mitchell, 2011). This allows for open collaboration between the nurses and information technology to come up with solutions and user friendly applications when needed. The technology world is ever changing and with that comes new ways to monitor and take care of our patients.
Information Systems/Technology and patient care technology for the improvement and transformation of health care is an important part of the DNP. Technology has transformed every aspect of human life in positive ways. Technology brought efficiency and improved healthcare deliverance system. Healthcare technologies enabled practitioners to better understand disease process and how to implement best treatment plan. DNP programs across the country embrace information systems and technology in their nursing curriculum because, it prepares nursing students to be innovative and deliver best care (AACN, 2006). DNP graduates must have the ability to use technology to analyze and disseminate critical information to find solutions that
The use of computer technology plays a vital role in society. The use of it alone has made different task easier, by reducing time management, effort, and overall cost in completing a particular task. With the widely vast growth of computer technology in every field of life; the health care services are experiencing an immerse digital progression by the adoption of electronic health record systems through the Health Information Technology for Economic and Clinical Health Act (Hitech Act).
Technology is stated as the scientific method and material used to achieve a commercial or industrial objective. To go one step further, nursing technology is using a tool to advance nursing practice. “The Institute of medicine identified that technology as a viable method of enhancing patient care delivery and improving staff productivity” Sensmeier, Horowitz (2003 page). Because inadequate nursing staff causes shortcuts to be taken, there are mistakes made that could have possibly been prevented. Errors by nursing staff were variously reported as being responsible for between 44,000 and 98,000 hospital deaths per year. Sensmeier, Horowitz (2003). Technology can have a large impact on nursing. In the past 5 to 10 years, computerized patient records have increased less than 10%. This number shows us that we are still not embracing technology to its full potential. Today in most hospital systems computerized electronic charting is being used. Many hospitals have many different systems for...
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.
Analytical models assume that the clinical decision maker’s thought processes follow rational logic that can be studied until a decision has been made. During the process of making the decision, the experience of the clinical decision maker and the ability to recognize situations that impinge on the decision making process are also key components of this analytical model (Klein, 1989, Klein & Calderwood, 1991). O’Neill clinical decision-making model is a multi-dimensional model that was developed from the synthesis of findings from research studies in graduate students (O’Neill, 1999, O’Neill et al., 2004), qualified nurses (O’Neill, 1997) and from the novice to expert clinical reasoning model (O’Neill & Dluhy, 1997). The model is based on a computerized decision support system that utilizes both hypothetical-deduction and pattern recognition as a basis of decision making. The benefits of each model is absorbed and used to develop a decision support model.
From state and federal levels, the healthcare industry has come a very long way, experiencing changes along the way. The development of advanced technology that has enhanced the quality of healthcare delivery systems will help all patients to be able to benefit. Doctors are able to access patient records at a faster rate and respond to their patients in a much more timely fashion. E-mail, electronic transfer of records and telemedicine will give all patients and physicians the tools needed to be more efficient, deliver quality care and deliver quality telecommunication at a faster pace than before.
Information and Communication Technology (ICT) has been shown to be increasingly important in the education or training and professional practice of healthcare. This paper discusses the impacts of using ICT in Healthcare and its administration. Health Information technology has availed better access to information, improved communication amongst physicians, clinicians, pharmacists and other healthcare workers facilitating continuing professional development for healthcare professionals, patients and the community as a whole. This paper takes a look at the roles, benefits of Information and Communication Technology (ICT) in healthcare services and goes on to outline the ICT proceeds/equipment used in the health sector such as the