NR599 W5CDSS Table.docx - Benefits Rationale Drawbacks Integral components of electronic health records(EHR such as CDSS prove to reduce medical error

NR599 W5CDSS Table.docx - Benefits Rationale Drawbacks...

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Benefits Rationale Drawbacks Rationale Integral components of electronic health records (EHR), such as CDSS, prove to reduce medical error and improve patient outcomes (Khairat et al., 2018) CDSS can be integrated into the patient safety spectrum to include alerts, reminders, and suggestions to assist providers with interpretation, diagnosis, and treatment (Khairat et al., 2018). Patient safety is improved with reduction in medication and prescribing errors, as well as preventing adverse drug events (Sutton et al., 2020). System and content maintenance are included as a potential for harm of CDSS (Sutton et al., 2020) Clinical decision support can become outdated and malfunction if proper maintenance and review of the programs is not managed (Schaeffer, 2017). If a system is not updated as clinical practices are changed, errors may occur, so it is critical for these systems to have routine updates, as well as routine maintenance. Workflow improvement (Sutton et al., 2020) CDSS can enhance and streamline workflow in an EHR with efficient and accurate data retrieval and presentation (Schaefer, 2017 and Sutton et al., 2020). Schaefer et al., goes on to say that efficient and accurate data benefits the entire healthcare community by improving workflow through health information exchange and reducing the need for paper documentation systems. Alert Fatigue is identified as potential harm of CDDS (Sutton et al., 2020). Clinicians and providers become desensitized to alerts and alarms over time because of the number of false- positive and unnecessary alarms that occur. Up to 95% of alarms are false positives (Sutton et al., 2020). Speaking from personal experience, there are so many noises constantly chiming in the background that nurses begin to unintentionally tune out the alerts and alarms. Cost containment (Sutton et al., 2020) CDSSs can identify when duplicate tests have been ordered and CDSS lack supporting evidence or transparency (Khairat Providers are less likely to use CDSS because the CDSS
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offer more affordable treatment and medication options (Sutton et al., 2020). One of the cost benefits I notice with using the CDSS is when a medication is prescribed it can alert the pharmacist and or providers of the cost and other more affordable options. I have also noticed when I place an order in the system for a topical medication, the system will alert me the medication is a duplicate or similar order, and if the patient has an allergy that was left off of the arm band or patient unintentionally omitted.
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