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Clinical Decision Support Systems - YouTube
Channel: Medicine and Health Sciences at Bethel University
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Welcome to this module on clinical
decision support systems clinical
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decision support tools have been
developed to provide the right
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information to the right person at the
right time and at the right location the
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National Quality forum has defined them
as any tool or technique that enhances
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decision-making by clinicians patients
or their surrogates in the delivery or
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management of health care so what does
that mean
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a c.d.s tool consists of a trigger input
data interventions and the action step
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for example a trigger such as ordering
an antibiotic in is is an event that
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signals a c.d.s algorithm the simplest
types of c.d.s tools are medication
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alerts in this case the algorithm
instructs the system to look at the
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creatinine results other medications for
the patients and the patient's age the
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interventions are the possible actions
that would be suggested to the provider
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given the type and dose of medication
she entered and the patient's data in
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this case the suggestion could be to
choose a different dose because of the
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age or creatinine level or to choose a
different antibiotic because of its
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interaction with other medications the
patient is taking the action step would
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be what the provider decides to do based
on the suggestions provided this type of
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point of care alert is common in most
medication ordering systems this type of
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point of care alert has been known to
cause alert fatigue when there are too
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many alerts that are not clinically
significant advanced practice nurses
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should give feedback about the overuse
of alerts so that informatics can work
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on improving the logic behind the alert
or prioritizing the alerts other
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categories of CBS tools are order sets
relevant reference information expert
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systems suggestions for parameters
reference to guidelines templates for
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documentation and the event-driven
alerts I've already explained order sets
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present the most common orders for a
specific condition for example for a
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client who is being transitioned to
comfort care a set of evidence-based
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interventions can be presented to the
clinician who is writing the order she
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doesn't have to remember all the single
orders that go into transitioning the
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patient's orders another example is the
provision of information buttons at
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specific times in the clinicians
workflow to provide health care
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guidelines or up to date references from
within the electronic health records
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system rather than forcing a clinician
to go outside the system to search for
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information they need other tools that
have been developed our workflow support
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tools for discharging a patient to a
different level of care and medication
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reconciliation tools why is this
important to advanced practice nurses
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the DNP graduate should be able to
evaluate the evidence and implement the
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best evidence into practice to change
patient outcomes clinical decision
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support tools are one way that
information technology can support the
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translation of evidence to practice if
you want to make sure that the clients
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at your clinic have their current a1c
values you could add this reminder when
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the provider opens the chart if you want
to make sure the providers have the
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latest information from evidence
summaries and guidelines you need to
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make this information available in the
EHR when clinicians are making decisions
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on their clients care CDS tools are
often only provided in fully functional
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electronic health records and each
vendor may configure the CDS tools in a
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different way therefore there are
barriers to having a knowledge base that
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is kept up to date with the latest
information and is used effectively the
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use of CDS tools and interventions are
in their infant stage it will be
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important for advanced practice nurses
to find ways to translate their work
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into relevant information that is
available to all clinicians at the right
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point in their workflow
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