NR-599 Week 5 Discussion Clinical Decision Support Systems
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NR-599
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NR-599
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).
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
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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 Alert fatigue Providers get
the high incidence of overwhelmed when there
medication errors and are too many “alerts”
adverse events especially these “alerts”
are generalized in
every patient
Order sets Help “users” to minimize Financial To set-up, the program in
repetitive tests (labs, challenges practice is expensive but
diagnostic, etc.) and also to maintain it with
contributes to a updated content to cover
decrease the ongoing
in the cost state and federal regulations
Smart Steered by specific Negative impact Some systems are very
documentation forms that are on user skills high tech and not user
forms individualized to each friendly, which impacts the
patient needs “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
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