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Decision Support and Evidence-Based Practice .: Panontongan, Queen Ramayana H

Clinical decision support systems are designed to help healthcare providers make decisions about patient care. They contain rules and can access multiple databases to provide information. For CDSS to be effective, standardized clinical terminology and data definitions are important so evidence and data can be shared and understood across different systems. Key considerations for successful CDSS include integrating real-time patient data from multiple sources, mechanisms to trigger alerts based on new data, clinical experts to translate knowledge into logic, and long-term clinical data repositories.

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Evelyn Medina
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29 views8 pages

Decision Support and Evidence-Based Practice .: Panontongan, Queen Ramayana H

Clinical decision support systems are designed to help healthcare providers make decisions about patient care. They contain rules and can access multiple databases to provide information. For CDSS to be effective, standardized clinical terminology and data definitions are important so evidence and data can be shared and understood across different systems. Key considerations for successful CDSS include integrating real-time patient data from multiple sources, mechanisms to trigger alerts based on new data, clinical experts to translate knowledge into logic, and long-term clinical data repositories.

Uploaded by

Evelyn Medina
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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decision support

and evidence-
based practice
panontongan, queen
ramayana h.
bsn2-a
Decision Support Systems:
Evidence-based adaptive clinical decision
Decision support systems (DSS)
support systems
are automated tools designed to support
are systems designed with multiple rules
decision-making activities and improve the
and access to multiple databases for
decision-making process and decision
information. They are complex systems and
outcomes.
contain mechanisms to incorporate new
findings and evidence.
Clinical decision support systems (CDSS)
are systems designed "to support healthcare
providers in making decisions about the
delivery and management of patient
Standardization of Terminology and Data

is a factor which plays a significant


role in increasing the availability of • clinical information systems (CIS).
evidence at the point of care. Standardized clinical terminology is necessary for
evidence to be both computable and interoperable
with multiple systems. .

• Standardized nursing terminology is required for quantifiable and


retrievable data. Information technology sys-tems document and code
nursing practice, aggregate and compare coded data across client
settings, populations, and time, and develop core databases for data
mining and meta-analysis.
Designed for computer based systems, and developed from evidence based practice:

Data quality.
Identification of Common Inaccurate and incomplete data will
Data Definitions. impact the quality of the data upon
uncommon for different departments, which decisions will be made and
hospitals, and systems to have different impact quality.
definitions of the same data elements.
System Selection Issues.
consider data requirements during the
Tools for Managing Clinical Data. selection process to facilitate other uses
Tools can vary from Excel spreadsheets of routinely collected health data such
and Access databases as benchmarking, quality
to database programs. improvement, research, and
surveillance.
Considerations for successful CDSS:
completed an extensive literature search to iden-
tify and organize the systems features of decision support
technologies targeted at nursing practice into assessment,
problem identification, care plans, implementation, and
outcomes. The analysis provided a description
of the representation of data elements and issues related to
the availability of data for use in the future development of
clinical decision support systems to prevent ICU delirium.
CDSS support. They were
(1) improve the electronic capture of nursing phenomena and care processes,

(2) promote use and integration of standardized nursing terminologies such as ICNP
and SNOMED-CT, and
(3) capitalize on data elements with high data availability.
• five elements as pre-requisites for a clinical real-time point-of-care clinical decision support system.

1. INTEGRATED, REAL-TIME PATIENT


DATABASE: 2. DATA-DRIVE MECHANISM: A data-drive
mecha-nism
It stores and updates all data as soon as results are enables a flag or trigger to be established and
available, forming the basis of any real-time CDSS effort set so that a program can be activated when a particular
and ability to implement logic that involves patient-specific type of data or data item (e.g., clinical laboratory results
data from multiple data sources or a chest radiograph report) is stored in the database.

3. KNOWLEDGE ENGINEER: 4. TIME-DRIVE MECHANISM:


An informatics expert who is responsible This Logic can be used to remind clinicians to
for extracting and translating the clinical perform specific activities or to check that the
appropriate action has been performed.
knowledge into machine executable logic.

5. LONG-TERM CLINICAL DATA


REPOSITORY:
A long-term clinical data repository contains the
patient-specific data from a variety of clinical sources
collected over a period of several years
THANK YOU!

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