Answer 2 for DNP 805 Select a particular medication or clinical problem

CDSS is great at influencing the care delivery system positive as they improve the efficiency of the care processes by as they enhance all the safety measures that have been embedded in all the HIT tools being used by the HCP. The CDSS use the clinical information and the parameters that have been set or programmed to provide clinical-decision support to the HCP. The CDSS supports care decisions based on the standardized controlled data that is entered based on knowledge base and the reasoning capacity of the system and the communication output. Hence the frequently used adage of “garbage in- garbage out”. The CDSS would only make a decision based on what was programmed and what was entered as documentation. So, we have to require that all those who input information into the system are doing so accurately. To further patient safety, prevent delays with care (Alexander, Hoy, & Frith, 2019). For instance, in the area of registration to admit patients into the hospitals. The registrar’s office in the emergency room has a tendency of not updating the information in the records. We find that most times, the patients do not have the correct address or the correct phone number, or there is no emergency contact, sometimes, to move forward they enter the patients name as the emergency contact and this causes a problem when there is an emergency situation and the hospital cannot contact anyone because no one has come to see the patient or no one realized that there was no true emergency contact listed and the worse is that sometimes the listed emergency contact is someone that has died maybe one or two years prior. The CDSS can support care here if there is a trigger that makes them enter new information rather than relying on the old information. It will prevent the delays with trying to find family members to consent to a procedure when it is not an emergency. The CDSS when it is used for cardiovascular disease preventive measures, it can be used as a screening mechanism to remind the HCP to screen for certain risk factors and asking a series of questions on how they adhere to their medications and the type of treatments they have utilized and recommendations for certain health behavior modifications. For instance, In South Omaha Medical Associates (SOMA), they have a high percentage of low-income patients more that they have clinics, so they performed an assessment, in collaboration with other health departments and they realized that they needed to increase their use of EHR and implement CDSS. This has helped them to identify patients who were undiagnosed with risk factors for cardiovascular diseases. With the use of CDSS, they increase their monitoring of quality measures and self-measuring of blood pressures which has improved their workflow and led to a 25% rise in patients coming to the clinic and improved patient safety outcomes (CDC, 2020).

References:

Alexander, S., Hoy, H., & Frith, K. (2019). Applied clinical informatics for nurses (2nd ed.). Jones & Bartlett Learning. Centers for Disease Control and Prevention (CDC). (2020, July 7). How to implement clinical decision support systems. Centers for Disease Control and Prevention. https://www.cdc.gov/dhdsp/pubs/guides/best-practices/clinical-decision-support.htm