Clinical Decision Support Produces Up-To-Point Of Care

2. Physicians will see increased compliance of the drug in their patients as the drug is not patient administered but provider administered. Will limit the variations in dosing patterns and practices. Provide alternatives for treatment. Improve revenue as it is administered in the office rather than at home.

Ensure accurate maintenance and communication of medications: Making sure that there is appropriate and accurate documentation about the medicines that the patients were taking, and comparing them with the new medications. Also giving the patients the information needed to safely take their medications when they go home. The purpose of this goal is to ensure a better outcome for the patients’ health, and reduce errors when providing medications (The Joint Commission, 2012).

to enable access to prescription information by practitioners, law enforcement agents, and other authorized individuals and agencies

Identify key features related to their use of the CDSS in terms of: the type of CDSS they use (knowledge based, or analytics, or a combination of both), its usability (ease of use), utility (perceived usefulness), how they incorporate it into their own workflow, what are some of its features, its overall impact on any patient outcomes and any challenges they have experienced while using the CDSS.

that they dosage is safe. If physicians skip this step, it may lead to more harm then good.

These systems will also help cut down on medication errors by comparing the patient’s to medications or interventions so that it is given to the correct patient. Also documents the care given so there would be no human error in the case of questioning whether care had been given as long as the caregiver documents in the record. These features of the electronic health record are in place to promote patient safety by reducing errors.

As well as to stablish a vital sign baseline before starting a new medication. Neuromuscular and gastrointestinal system need to be monitor to prevent

The primary purpose for CCD is for the exchange of information when a patient is transitioning from one care setting to the next. CCD allows for the development of clinical data by our physicians so that they are able to transmit electronic health information to other providers especially in the instances of transition of care or medication reconciliation. CCR helps with the prevention or loss of data meaning which ultimately improves patient care all together. To specify patient summary data of the continuation of care document includes demographic, clinical information facts, health encounters and administrative information.

According to Chtourou (2013), a CDI program focuses on enhancing the accuracy of clinical documentation quality which requires a huge input from CDI specialists, heath information management professionals, coders and clinicians to collaborate together to review the quality of documentation reported/captured in order to ensure accuracy and complete of patient’s clinical encounter. As a healthcare provider, medical records that are incomplete or inaccurate often times, compromise the quality of care reporting and inevitably affect the clinical decision support system of the organization including the accuracy of reimbursement. This is reasonable since the CDI program has emerged as a new paradigm to meet the changing needs of maintaining a sound health record documentation across the healthcare industry (Hauger, 2014). Most of the CDI programs have to a great extent concentrated on boosting the Diagnosis-Related Groups (DRGs) installments by securing clinical documentation to support medical complications and co-morbidities (Hauger, 2014).

All persons who administer medications should have adequate access to patient information, as close to the point of use as possible, including medical history, known allergies, prognosis, and treatment plan, to assess the appropriateness of administering the medication. (National Coordinating Council for Medication Error Reporting and Prevention).

Pediatric patients specifically have a propensity to be exceptionally soft to most medications, from this time they need to figure the bigger percentage of their pharmaceutical doses by weight. The minimum erroneous conclusion could prompt an unfriendly medication impact. More grown-up this is including the elderly, then again, are limited to, numerous doctor prescribed medications for their endless sicknesses which require examination to hold away from contraindications. On the other hand, paying little mind to whether the patient might be at danger of encountering a pharmaceutical mistake or not, all drug organizations should in a perfect world take after the "seven rights" which incorporate "the right patient, right prescription, right measurement, opportune time, right course, right reason, and right documentation". (Bonsall,

Clinical documentation Improvement (CDI) is the program or the training that is design to provide the good link between coders and health care providers that increase the accuracy and completeness of patient health care documentation. According to American Health Information Management Association (AHIMA) tool kit CDI is the program especially design for health care field for initiate concurrent and, as appropriate, retrospective review of patient health records for accurate, incomplete, or nonspecific provider documentation (Scharffenberger and Kuehn 2011). Most of the time patient health record review occur in inpatient location but it there is any confusion then the review can go through electronic health records too. CDI play a vital role solving complex case between coder and health care provider that result in easy and smooth operation of reimbursement process in health care organization for the service they provide to patient.

CDS interventions such as alerts (CLAS) and ADE recognition systems must follow the Five Rights model. These include the right information, the right person, the right CDS intervention format, the right channel, and the right time in workflow (Osheroff et al., 2012). Both cases did not explicitly reveal all stages of this model. However, both cases did result in favorable outcomes. They achieved their goals and provided quality patient care. Case 1 identified alerts and clinicians were notified either by the flashing yellow light or via the computer

However, to keep track of what medicines patients take, when and in what doses, especially from

The effectiveness of clinical decision making is crucial in nursing practice to ensure positive outcome (Goodman, 2014). This essay will explore the clinical and decision making process in adult nursing by analysing how nursing practice is applied in decision making considering the individual needs of the patient. Ms LG is a 42 years old white British female with a history of dyspepsia, constipation, continuous poorly localized abdominal pain, bloating and history of vomiting (NA2010/3010). Ms LG had chemotherapy for ovarian cancer prior to being admitted to the gastro-intestinal oncology ward.