Clinical Decision Support System

In this discussion board post, I will compare and contrast informatics and clinical informatics. Then I will give two examples of clinical informatics found in my organization that has been found to improve patient care. I will also give two examples of how my nurse manager can utilize data management in order to improve patient care. Lastly, I will discuss why President Bush mandated that all health records be in electronic form by the year 2014.

UHN in Toronto is a major community care network that reaches out to and provides care to the masses. However in order to provide this kind of care they must have a very powerful decision support system. UHN utilizes an advanced CPR to support computerized physician order entry (CPOE). (Wu, Perters, & Morgan, 2002) A CPR system is a computer-based patient record system. A CPR system must provide a comprehensive clinical decision support it must include both a patient focus and a population focus. The physical computer system that is installed on the computers at UHN is called Patient 1® which is a clinical information system developed by Atlanta Based Per-Se

An interview with an Assistant Professor at Duke University Health System in the Department of Medicine, Maestro Care Provider Champion and Clinical Content Architect. This physician works to incorporate clinical decision support tools into the electronic health record at Duke Health System. He manages the best practice advisory committee that may provide a way to deploy alerts to clinicians at the point of care. Alerts with order sets and recommended actions are created and updated to notify providers of current patient care guidelines or patient safety concerns.

Decision support systems (DSSs) help professionals make decisions by determining the most favorable options to a “What if?” question. Using raw data, DSSs can make comparison and generate new information to assist in decision making.

Clinical Decision Support System (CDSS) has potential chances to enhance general security, quality what's more, cost-adequacy of human services. The CDSS has existed for over four decades, yet its selection rate by therapeutic groups is not empowering even in the nations that have been a pioneer in creating them. At numerous locales, it was hazardous, slowed down in the arranging stages or never at any point endeavored. To date, CDSS is considered as an incompletely effective framework. A few current difficulties have not been enough tended to amid the improvement of CDSS. According to most recent research, the arrangements of difficulties are: enhance the human-PC interface,

For the electronic health record to be considered as a true clinical decision support system, it must be possible to access and integrate patients’ clinical information that is collected throughout their lives, guaranteeing up-to-date, safe and congruent information, immediately accessible at the place of care. Moreover, because of the considerable increase in the capacity to develop and manufacture systems that employ smart components highly integrated and miniaturized, wearable devices facilitate the home monitoring of patients with chronic diseases and their information should be integrated in existing electronic health records. Therefore, the interoperability is an essential requirement of eHealth to allow the integration of care into a

This project illustrates a RAD approach for designing a patient decision support research platforms (web-based). This web-based research platform is designed with three components: an introduction of shared decision making, a patient decision aid (web-based), and items for decision process data collection. A feedback on paper drafts and online prototypes is also provided by this research platform (web-based). Consider a shared decision making (SDM) process that allows the health care providers and patients to make decisions collectively on the basis of an evidence-based scientific knowledge and the patient’s preferences. Consequently, this process provides both the provider’s practiced knowledge, and the patient’s right to be informed of all

3. The older diagnostic decision support systems (DDSS) failed largely because they were not integrated into the organizational and hospital’s clinical information system (CIS). Also, the electronic health record (EHR) adoption was most likely much lower than today’s adoption rate given the HITECH Act. This rationale was covered in class.1 If the DDSS is not part of the CIS, that meant the DDSS will not be incorporated into the doctor’s workflow. This will most likely interrupt and delay the doctor’s workflow and tempo.1 This would have discouraged the doctor from using the DDSS because it will be perceived as an extra work without a clear benefit. The class lecture also pointed out that the data entry was a manual process, again, interrupting

Clinical decision-support systems (CDSS) apply best-known medical knowledge to patient data for the purpose of generating case-specific decision-support advice. CDSS forms the cornerstone of health informatics research and practice. It is an embedded concept in almost all major clinical information systems and plays an instrumental role in helping health care achieve its ultimate goal: providing high quality patient care while, at the same time, assuring patient safety and reducing costs. This computer based systems designed to impact clinician decision making about individual patients at the point in time that these decisions are made. If used properly, CDSS have the potential to change the way medicine has been taught and

Health Informatics created two main categories such as clinical and administrative information systems to meet the needs of one or more department within the health care organization. For the clinical information system, it is set to meet the needs in improving patient care. Therefore, the clinical information system (CIS) categories provide nurses information systems (NIS) that support the way nurses documents the care that given to the patients. However, to improve the delivery of nursing care, the healthcare organization must adopt a computer system that can successfully incorporate tools that will benefit nursing. There is two vendors’ software that implies these characteristics for the

The use of clinical decision supports tools and standardized healthcare care practice which enables a clinician to use an evidence base

Last summer, I went to work with my mother at Norwalk Hospital in Connecticut. Her job title was “Manager of Clinical Informatics”; she worked closely with the Manager of Information Technology and reported to the Chief Medical Information Officer, as well as the Chief Information Officer, who are both directors. While I worked there I noticed many different types of managerial styles that the various parties previously mentioned used. In order to ensure her team’s (which compromised of two informatics specialists and an educator) effectiveness, she would meet with them periodically to set long-term goals and frequently to set short-term goals. These goals helped keep her team on track regarding the completion and implementation of various projects.

There are a lot of problems and challenges involved in implementing a clinical decision support system. It is important for medical staff (doctors, administrators etc.) to be an integral part in the implementation and development of CDSS. Our limited research concluded that acceptance of such technology is not easy amongst physicians. One of the main reasons for non acceptance is that the physicians want to be a standalone entity. We plan to investigate many challenges such as lack of technical expertise, cost, integration, misdiagnosis, speed etc involved in implementation of different types of CDSS in the health care industry today. Our research paper will focus on the different decision problems involved in these challenges.

Interesting discussion post! Yes, the RxWriter project should consider the special need of all stakeholders involve. However, the project management team must not lose sight of the overall mission of project which to ensure medication prescription safety. Ensuring the project accomplish its primary goal will require a well integrated approach that will enable physician to order medication and variety of tests neccesary to treat patient's condition. The addition of the Clinical Decision Support System (CDSS) will further enhance the safety feature of the electronic prescription system, but the CDSS should not be implement in a way that will impede clinician judgement or interfere with workflow as this can create an avenue for

The development of information systems requires cooperation between end-users and IS specialists. End users provide the business needs and requirements of the system. The people who will use the system the most know what functionality they require. For a large facility, there may be many departments