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Clinical decision support system framework
Clinical decision support system framework
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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). Major components of a Clinical Decision-Support System 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... ... middle of paper ... ...ess information. The major components lay out the powerful tool for improving clinical care and patient outcome. However there is much to be said for how to influences physicians in the change of their decision-making. Works Cited Bates, D.W., Kuperman, G. J., Wang, S., Gandhi, T., Kittler, A., Volk, L., Spurr, C., Khorasani, R., Tanasijevic, M., Middleton, B., (March 25 2003), Ten Commandments for Effective Clinical Decision Support: Making the Practice of Evidence-based Medicine a Reality, http://jamia.bmjjournals.com/content/10/6/523.full Richardson, J.E., Ash J.S., (09/02/2011), A clinical decision support needs assessment of community-based physicians http://jamia.bmjjournals.com/content/18/Suppl_1/i28.full Wells, L. (n.d), Role of Information Technology in Evidence Based Medicine: Advantages and Limitations, http://ispub.com/IJHCA/4/2/5020
Ramachandria, C. T., Subramanyan, N., Bar, K. J., Baker, G., & Yeragani, V. K. (n.d.).
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.
Electronic health information systems prevent errors by involving everyone in a primary health care setting which mainly includes specialists office, emergency department to access the same
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
Stanley, J., Gannon, J., Gabuat, J., Hartranft, S., Adams, N., Mayes, C., Shouse, G. M.,
Nalepa G, Enzor R, Sun Z, Marchal C, Park SJ, Yang Y, Tedeschi L, Kelich S, Hanenberg H and
...Hallert, C., C. Grant, S. Grehn, C. Grannot, S. Hultent, G. Midhagens M. Strom, H. Svensson,
Gong, Y. (2010). Case-based Medical reasoning. HMI 8571 Decision Support Systems in Healthcare. Feb 22, 2010. Retrieved on 2/22/10 https://hmi.missouri.edu/moodle/mod/resource/view.php?id=11201
Over the last 10 years evidence-based practice (EBP) has grown substantially and is changing the nursing care delivered to patients along with the nursing work environment. Nurses are more involved in the decision making process, and are making clinical decisions with better patient outcomes (Good, Fink, Krugman, Oman, & Traditi, 2011). With technology growing at such a fast pace, new and more effective medicines, medical devices, and procedures are developed daily. Digestible sensors that monitor your bodily systems and 3D printing of embryonic stem cells, blood vessels, and sheets of cardiac tissue that actually beat like a real heart, are significantly impacting the future of healthcare (Honigman,
Zhang, Y. B., Harwood, J., Williams, A., Ylänne-McEwen, V., Wadleigh, P. M., & Thimm, C.
Ottenberg, A. L., Wu, J. T., Poland, G. A., Jacobson, R. M., Koenig , B. A., & Tilburt, J. C.
Also, these studies question those who are effected; in this case, those who are most effected, is everyone. Doctors and nurses spend the most time working within these systems, but the information that is put into these systems effects every individual in America, because it is their information. Because nurses are often considered “both coordinators and providers of patient care” and they “attend to the whole patient,” their opinion is highly regarded (Otieno, Toyama, Asonuma, Kanai-Pak, & Naitoh, 2007, p. 210). It is clear that the use of these new systems is much debated, and many people have their own, individualized opinion. This information suggests that when there is a problem in the medical field, those who address it attempt to gather opinions from everyone who is involved before proceeding. It has been proven by multiple studies that this system of record keeping does in fact have potential to significantly improve patient health through efficiency, and it is because of this that the majority of hospitals have already completed, or begun the transfer from paperless to electronic (Otieno, Toyama, Asonuma, Kanai-Pak, & Naitoh,
Tamborini, Ron ; Eastin, Matthew S. ; Skalski, Paul ; Lachlan, Kenneth ; Fediuk, Thomas A. ;
Barker, V., Giles, H., Hajek, C., Ota, H., Noels, K., Lim, T-S., & Somera, L. (2008).
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