NR 508 WEEK 5 INFORMATICS POST

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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. Clinical Decision Support Systems (CDSS) aid in screening patient data from various sources and then integrate that information into a single source. Benefit and drawbacks to Clinical Decision Support Systems Pros Cons Improved care. Doctors use CDSS to diagnose and improve patient care by eliminating unnecessary testing, improving patient safety, and avoiding costly complications. Alert fatigue for clinicians. The alerts triggered by a CDSS can overwhelm caretakers who also receive prompts from other technology systems. In practice, 49% to 96% of alerts are overridden, raising questions about the effectiveness of decision support (Ancker et al., 2017). Allows for faster decision-making. Increases the effectiveness of the decisions made due to its capacity to identify relevant data. The use of clinical decision support systems hence reduce the errors promoting patient safety and improving patient outcomes. Shift of responsibility - easy to blame computer. The danger can be that the doctor gets used to just filling boxes and not relying entirely on his/her knowledge when it comes to providing treatment to a patient who has multiple health conditions. It is best to be sure that the doctor is the one who decides on diagnosis and treatments. Has been seen to improve collaboration and communication within groups. Helps communicate with healthcare team immediately. Have the ability and tools to help physicians and nurses make better care decisions. For example, clinical decision support tools, like making medication recommendations based on diagnosis, and built-in clinical pathways, which help guide a hospital through recommended procedures, and help ensure patients receive the best care. May reduce skill in staff, because they become dependent on the computers. If misused, it can be detrimental to the patient's health. Also, the danger can be that the doctor gets used to just filling boxes and not relying entirely on his/her knowledge when it comes to providing treatment to a patient who has multiple health conditions. [Show More]

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