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A CDS (Clinical Decision Support) usually provides clinicians, patients, staff or other people with person-specific information, and knowledge in enhancing health care. The system encompasses various tools that help in decision making in the clinical workflow. Some of the tools are computerized alerts as well as reminders for patients and providers. Programs are being developed to help the clinician make his or her job easierand faster. There are benefits regarding the CDSS in the hospital setting. Some of the benefits include increased care quality, improved health results, and avoidance of errorsas well as adverse events. More so, there is enhanced efficiency, cost-benefit, and patient and provider satisfaction. The CDSS helps in reducing the risks associated with medication errors especially to children and infants during emergency situations. The system can do complex calculations fast and efficiently with minimal mistakes. There is a reduction of misdiagnosis, and the CDSS drastically improves the margin existing in the diagnostic error. The CDSS provides the medical team with reliable, and consistent information. As an APN, I would use the CDSS on a patient with Obstructed Sleep Apnea (OSA), who is experiencing frequent episodes of partial or complete upper airway obstruction during sleep. These frequent obstructions result in recurrent oxygen desaturations, hypercarbia, sleep fragmentation, and increased fluctuations in intrathoracic pressure. Over time, these effects contribute to substantial morbidity and mortality (Williams, 2017, p. 42). As the APN inputs that the patient has a history of OSA, a BPA comes up on the screen to order the OSA order set. This includes having a Respiratory Therapist to come talk with the patient to determine if CPAP use is needed, if supplemental oxygen should be set up, or if a sleeping trial should be ordered after discharge. The BPA notifies the APN that the patient has OSA, and it is flagged for discussion during any sedating procedure. According to Mei-Chen et al (2015), when patients use their CPAP long-term, they have increases in sleep quality and reduced cardiovascular comorbidities with lower blood pressure. Knowing this information can provide the nurse with more facts to present to the patient who has OSA, in order to help with compliance. Another example is that an EKG or Lab work can be performed and uploaded to a record in real-time and the doctor can plan treatment faster, which shortens delays and improves patient outcome. This helps to keep all the patient’s information in one location, and allows patient to be more pro-active in their care.
Mei-Chen, Y., Yi-Chih, H., Chou-Chin, L., Yao-Kuang, W., & Kuo-Feng, H. (2015). Beneficial effects of long-term cpap treatment on sleep quality and blood pressure in adherent subjects with obstructive sleep apnea. Respiratory Care, 60(12), 1810-1818. doi:10.4187/respcare.04199Glaser, J. (2008). The Clinical decision support: The power behind the electronic health records. Healthcare Financial Management, 62(7), 46–48, 50–51.Kesselheim, A. S., Creswell, K., Phansalkar, S., Bates, D. W., & Sheikh, A. (2011). Clinical decision support