The office of the National Coordinator (ONC) for Health Information Technology defined clinical decision-support system (CDSS). It is a system that supports clinical decisions of health care practitioners, patients and other knowledgeable people to guide the clinical practice with filtered specific information to be presented at the right time to help improve the health of patients and to advance health care in general. This clinical decision support has a variety of tools which is used to improve decisions made in the clinical workflows. Some of the tools in CDSS are alerts and reminders that are computerized for the patients and clinicians, specific orders that are set to a specific condition, data reports that are focused on patients, supports with diagnostics and templates for documentations (Alexander, Hoy, & Frith, 2019). Computerized provider order entry (CPOE) is the process by which health care providers (HCP) enter and send orders and treatment instructions such as medications, laboratory, and radiology through the computer applications and not by using paper, fax, or telephone (HealtIT.gov., 2018). The use of CDSS and CPOE that is embedded within the EHR can help to reduce errors, improve the efficiency and the safety of the care processes, increases consistency in decisions made thereby reducing increased variations which are used to provide care for the patients as well as improve the efficiency of reimbursements for care provided. It can also delay and hinder the delivery of care when the focus is on problems that lack importance and widening of digital inequalities. When the HCP enter orders into the computer, it interfaces with the EHR. It is analyzed and gives a clinical picture for the HCP of the situation of the patient. If it is abnormal, it triggers a parameter alert for the HCP to seek out the problem and perform an intervention (Alexander, Hoy, & Frith, 2019) (Mebrahtu, Skyrme, Randell, Keenan, Bloor, Yang, Andre, Ledward, King, & Thompson, 2021). One of the tools that CDSS and CPOE is used in the cardiac patients is in the alerts that are used in the telemetry units for the heart monitors. When the patient is in distress when the vital signs are abnormal either too low or too high, the CDSS begins to alert to draw the attention of the HCP. This helps to monitor the patients and intervene promptly to prevent them from going into severe cardiac events. One of the elements that I would like to improve would be when the monitors come off or when the patient is moving so much the alarm continues to beep. There is no distinction with the different alarms. The alarms all sound the same except when it is ventricular tachycardia or ventricular fibrillation. So, I would like to make different alarm sounds for each specific situation so that the HCP is not wandering what is causing the alarm and wasting time deciphering what is causing the alarm.
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