NR 599 Week 5 Clinical Decision Support Systems
University:
Chamberlain University
NR 599 Week 5 Clinical Decision Support Systems
Paper Instructions
Preparing the Assignment
Post a written response in the discussion forum to EACH threaded discussion topic
- 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.
- 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!
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Sample Answer
While providers cannot fully rely on CDS tools to make decisions, when they are designed in alignment with the provider’s preferences, they can be useful in increasing positive health outcomes for those that are at increased risk for diabetes (Obrien et al, 2022). Obrien et al’s (2022) study showed that providers that used CDS tool for pre-diabetes had increased rates of prescriptions for metformin and lab tests orders for hemoglobin A1C. There were also increased rates of referrals for health counseling for these patients.
Taking into consideration the time to learn the system, once providers are competent and have incorporated it into their workflow, it certainly can help initiate the conversation with the patient about their diagnosis and early interventions to reduce the progression of diabetes. Shi’s randomized controlled trial showed that while modest, when comparing team-based care alone to care given with CDS “significantly reduced cardiovascular risk factors in patients with diabetes,” (Shi et al 2023).
Without it, most patients could possibly not be even informed that they have prediabetes. I think utilizing this technology appropriately, absolutely makes CDSS a benefit to the care we provide.
- O’Brien, M. J., Vargas, M. C., Lopez, A., Feliciano, Y., Gregory, D. L., Carcamo, P., Mohr, L., Mohanty, N., Padilla, R., Ackermann, R. T., Persell, S. D., & Feinglass, J. (2022). Development of a novel clinical decision support tool for diabetes prevention and feasibility of its implementation in primary care. Preventive Medicine Reports, 29, 101979. https //doi.org/10.1016/j.pmedr.2022.101979Links to an external site.
Shi, X., He, J., Lin, M., Liu, C., Yan, B., Song, H., Wang, C., Xiao, F., Huang, P., - Wang, L., Li, Z., Huang, Y., Zhang, M., Chen, C.-S., Obst, K., Shi, L., Li, W., Yang, S., Yao, G., & Li, X. (2023). Comparative Effectiveness of Team-Based Care With and Without a Clinical Decision Support System for Diabetes Management A Cluster Randomized Trial. Annals of Internal Medicine, 176(1), 49–58. https //doi.org/10.7326/M22-1950Links to an external site.
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