Case-Assignment: Clinical Decision Support

Case-Assignment: Clinical Decision Support

Case-Assignment: Clinical Decision Support

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Assignment: Clinical Decision Support (CDS) and Evidence-Based Practice (EBP)

Just as global positioning systems (GPS) provide drivers with directions, detours, alternative routes, and alerts, clinical decision support (CDS) systems provide health care professionals with guidance for important decisions related to patient care. CDS systems have many capabilities, such as synthesizing patient information, recommending diagnostic tests, presenting alerts for life-threatening conditions, suggesting options for treatment, and offering relevant evidence and best practices. However, like GPSs, CDS systems are not always perfect, and many of their design specifications and functionalities are still evolving. In particular, issues such as alert fatigue and the integration of evidence-based practice (EBP) resources and clinical guidelines are still developing for CDS systems.

you identify the established EBP databases and clinical guidelines for your specialization area. Clinical Informatics Educator).
Identify the two databases you selected as “gold standards” for EBP within Clinical Informatics Educator). Justify your selections.
Identify the two condition-specific clinical guidelines you selected and explain their significance within Clinical Informatics Educator.
Explain how the databases and guidelines you identified could be integrated into a CDS system.
Describe the type of system you would recommend and justify your recommendation.
Identify at least two benefits and at least two challenges of the CDS system you recommended.
You also consider how to integrate these elements into a CDS system specific to your specialization area. Clinical Informatics Educator). In addition, you analyze the benefits and drawbacks of integrating EBP and clinical guidelines within specialized CDS systems.

To prepare:

Review this week’s Learning Resources on CDS systems, EBP, and clinical guidelines. Focus on the Hammond, Jaffe, and Kush article, “Healthcare Standards Development: The Value of Nurturing Collaboration” and consider how CDS systems could be used to achieve integration of standards, guidelines, and EBP within your specialization area.
Identify at least two databases that can be considered “gold standards” for current research and EBP recommendations within your specialization area.
Identify at least two condition-specific clinical guidelines that are applicable to your specialization area. One possible resource for locating clinical guidelines is http://www.guidelines.gov
Consider how the databases and guidelines you identified could be integrated into a CDS system. For example, would you recommend an alert system, a side panel within an electronic health record (EHR) system, a separate computer or device for health care professionals to consult at their discretion, or an alternative system?
Reflect on the benefits and disadvantages of the type of CDS system you selected to integrate your EBP databases and clinical guidelines.
Write a 3-page paper that addresses the following:

Identify the two databases you selected as “gold standards” for EBP within Clinical Informatics Educator). Justify your selections.
Identify the two condition-specific clinical guidelines you selected and explain their significance within Clinical Informatics Educator.
Explain how the databases and guidelines you identified could be integrated into a CDS system.
Describe the type of system you would recommend and justify your recommendation.
Identify at least two benefits and at least two challenges of the CDS system you recommended.

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

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