NR-599 Week 5 Discussion Clinical Decision Support Systems

NR-599 Week 5 Discussion Clinical Decision Support Systems 1) This week we learned about the potential benefits and drawbacks to clinical decision support systems (CDSSs). Create a “Pros” versus “Cons” table with a column for “Pro” and a separate column for “Con”. Include at least 3 items for each column. Next to each item, provide a brief rationale as to why you included it on the respective list. Hello Professor and classmates, The following are the Pro and Cons of Clinical Decision Support System, which I think can impact a healthcare facility. Pros Rationale Cons Rationale Patient Safety Help “users” to reduce the high incidence of medication errors and adverse events Alert fatigue Providers get overwhelmed when there are too many “alerts” especially these “alerts” are generalized in every patient Order sets Help “users” to minimize repetitive tests (labs, diagnostic, etc.) and contributes to a decrease in the cost Financial challenges To set-up, the program in practice is expensive but also to maintain it with updated content to cover the ongoing state and federal regulations Smart documentation forms Steered by specific forms that are individualized to each patient needs Negative impact on user skills Some systems are very high tech and not user friendly, which impacts the “user’s” workflow 2) The primary goal of a CDSS is to leverage data and the scientific evidence to help guide appropriate decision making. CDSSs directly assist the clinician in making decisions about specific patients. For this discussion thread post, you are to assume your future role as an APN and create a clinical patient and scenario to illustrate an exemplary depiction of how a CDSS might influence your decision. This post is an opportunity for you to be innovative, so have fun! A 56-year-old female went into my practice complaining of backache and fatigue for the past week. On the physical assessment, patient vitals were BP 132/76, Resp 18, Pulse 88 and Temp 99.8, lungs clear, no coughing, tenderness to the right flank, and lower pelvic area. All four extremities range of motion normal denied pain to extremities and no visible swelling. No complaints of gastrointestinal discomfort/ complications. She stated that she started feeling fatigued, and her back pain was initiated because she was lying in bed for too long. The day before, the back pain started to radiate down her right leg and was febrile with a temperature of 101 degrees. She took Tylenol Extra Strength 500mg 1 tablet around 2:00 pm, and after that, she has not had any more fever. Before diagnosing the patient with my physical findings in hand, I started to enter the information into the patient’s EHR. It allowed me to reference back to her last office visits and laboratory workup results. At this point, I concluded that she had past asymptomatic Urinary Tract Infection, which was only detected by urinalysis. I ordered a STAT Urinalysis laboratory workup with culture to be done the same day. Her EHR stated that she had no allergies to any