[Solved] NR599 Week 5: Clinical Decision Support Systems

COURSE:

NR599 – Nursing Informatics For Advanced Practice

Preparing the Assignment

Post a written response in the discussion forum to EACH threaded discussion topic:

  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.
  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!

Adhere to the following guidelines regarding quality for the threaded discussions in Canvas:

  • Application of Course Knowledge: Demonstrate the ability to analyze, synthesize, and/or apply principles and concepts learned in the course lesson and outside readings.
  • Scholarliness and Scholarly Sources: Demonstrates achievement of scholarly inquiry for professional and academic decisions using valid, relevant, and reliable outside scholarly source to contribute to the discussion thread.
  • Writing Mechanics: Grammar, spelling, syntax, and punctuation are accurate. In-text and reference citations should be formatted using correct APA guidelines.
  • Direct Quotes: Good writing calls for the limited use of direct quotes. Direct quotes in discussions are to be limited to one short quotation (not to exceed 15 words). The quote must add substantively to the discussion. Points will be deducted under the grammar, syntax, APA category.

 

Hello professor and classmates,

PROS and CONS of clinical decision support systems (CDSSs)
Pros Cons
Reduces Medication Errors

It can be challenging to determine accurate medication, especially for infants and children in critical and emergency situations. Calculations of complex drug formulas are difficult to memorize and even the mathematical errors can have errors. Different dosing regimens dictated by indication and pharmacokinetics are other opportunities for medication errors. The CDSS can provide the providers with accurate medication information and dosing, and thus, helping to prevent medication errors (Sutton et al., 2020). The CDSS can also help to reduce misdiagnosis, common medical errors caused by atypical presentations, cognitive errors, provider bias, and uncommon clinical manifestations of diseases (Wasylewicz & Scheepers-Hoeks, 2019). The CDSS can help clinicians to make the correct diagnosis, preventing misdiagnosis.

 Alert fatigue

CDSS works by alerting clinicians. These alerts may be insignificant and may cause alarm fatigue among the clinicians who may end up dismissing the alerts even when they are important, risking the patient’s safety and quality of care. Clinicians may end up ignoring important alerts such as drug-drug interactions and alerts about weight-based dosing (Wasylewicz & Scheepers-Hoeks, 2019). The CDSS over-alerts causes the clinicians to just click OK on any alert without reading it.

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