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doi: 10.3402/gha.v8.25756Shahsavarani, A., Abadi, E., Kalkhoran, M., Jafari, S., & Qaranli, S. (2015). Clinical Decision Support Systems (CDSSs): State of the art Review of Literature.International Journal Of Medical Reviews,2(4), 299-308.
Hello Jennifer,I did not realize all the potential possibilities of the clinical decision support system until further digging into this assignment. One thing that I believe is very helpful to providers is the check for medication interactions. I feel like this can often be missed by providers and they will not alwaysremember every drug interaction. This prevents many of medication errors for patients and makes for better outcomes in guiding providers with the support of prescribing. CDSS have beenreported to positively impact patient safety and quality, stimulate prevention and optimum treatment, decrease medical errors, and improve outcomes for the patient (Berlard et al., 2017). Although there are many potential benefits to the CDSS, there are drawbacks that providers should be cognizant about when using these systems. These systems are not always accurate since they process a large amount of various medical information which does not account for missing clinical or physiologic information (Berlard et al., 2017). There is also the issue of physician overload of information which can lead to medical errors even through the system is created to prevent errors. Providers should always complete their own checks with certain information and not fully rely on the CDSS for treatment, diagnosing, and management of patient’s conditions. As future providers we need to be aware of the concerns in using these systems and always make patient safety first. Krista LongmoreReferenceBelard, A., Buchman, T., Forsberg, J., Potter, B. K., Dente, C. J., Kirk, A., & Elster, E. (2017). Precision diagnosis: a view of the clinical decision support systems (CDSS) landscape through the lens of critical care.Journal Of Clinical Monitoring And Computing,31(2), 261–271. Jason, I agree that the CDSS is helpful when screening for allergies, but I learned that this system could come with error, as well. An accurate and complete recording of drug allergies is required for thebeneficial use of CDSS for drug allergy screening. There is a considerable variation in the way drug allergy is recorded in EHRs, which makes it difficult to decrease drug allergy alert overloadwhile upholding patient safety as the ultimate priority (Légat et al., 2018). Providers need to ensure that the patient's allergies are recorded correctly, not only with the medication but with thereaction to the drug. Most often, the patient does not have a true allergy to the drug rather than anunwanted side effect. I have had several patients tell me that their allergy to a medication is vomiting or a warm feeling. These are not true allergies of the medication and should not be