Clinical decision

support systems in
nursing (CDSS)
*DEFINITIONS OF DECISION AND DECISION
MAKING MAKING

*DEFINITION OF CLINICAL DECISION SUPPORT

SYSTEMS

*EXAMPLES OF DECISION MAKING

*PROBLEMS IN MAKING DECISIONS

*PROS AND CONS OF CDSS

*HOW TO SOLVE CHALLENGES OF CDSS

*BENEFITS OF CDSS

*TEN COMMANDMENTS FOR EFFECTIVE CDSS

 DEFINITION OF DECISION
a choice that you make about something after thinking about it

DEFINITION OF DECISION MAKING

is the process of making choices by identifying a decision, gathering
information, and assessing alternative resolutions.

DEFINITION OF CLINICAL DECISIONS

SUPPORT SYSTEMS
is the process of making choices by identifying a decision, gathering
information, and assessing alternative resolutions.
It’s also a clinical decision-support system is a computer program
designed to help health professionals make
•Examples of decision making
Deciding what to wear.
Deciding what to eat for lunch.
Choosing which book to read.
Deciding what task to do next

Steps to approach to clinical decision making

*Determine your probabilities. ...
*Gather data by further evaluating the patient. ...
*Update your probabilities based on the data you've gathered. ...
*Consider an intervention to see whether it crosses your treatment threshold.
Problems in making CDSS
* Alarm Fatigue
* Physician burnout
* Medication error

These are all detrimental side effects of unintuitive

clinical decision support technology, with these events
having a harmful impact on patient outcomes and
organizations' bottom lines…
PROS CONS
1. Enhance health and Causes fatigue in
healthcare performance providers
and outcomes
2. Boosting clinical Increased pressure and
decision making workload
processes
3. Identification of Inability to detect errors
adverse drug effects in medications
[ADEs]
WAYS TO SOLVE THE CHALLENGES IN CDSS
Identify Specific Challenges:
Understand the specific challenges your CDSS is facing. These might
include issues related to data quality, system integration, user
acceptance, or clinical workflow disruption.
Involve Stakeholders:
Engage healthcare professionals, IT staff, and other stakeholders in the
identification and resolution of challenges. Their insights are crucial in
understanding the practical issues and finding effective solutions.
Improve Data Quality:
Ensure that the data input into the CDSS is accurate, complete, and up-
to-date. Implement data validation checks and work towards
standardizing data formats to enhance interoperability.
Enhance System Integration:
Integrate the CDSS with other healthcare information systems, such as
Electronic Health Records (EHRs). Seamless integration can improve
data flow and accessibility, making the CDSS more effective.
Customize for Workflow Integration:
Align the CDSS with existing clinical workflows to minimize
disruption. Work closely with healthcare providers to understand their
needs and tailor the CDSS to fit seamlessly into their daily routines.
BENEFITS OF CDSS
*Recommendations for screening, such as for blood
pressure or cholesterol, and other preventive care
*Evidence-based clinical tests related to a particular
condition
* Condition-related treatments prescribed .
“TEN COMMANDMENTS” for effective
CDSS
-Speed is everything
-Anticipate needs and deliver in real time
-Fit into the User’s workflow
-Little things {like Usability] can make a big
difference
-Recognize that physicians will strongly resist
stopping
-Changing direction is easier than stopping
-Simple interventions work best
-Ask for additional information only when you
really need it
-Monitor impact, get feedback, and respond
-Manage and maintain your knowledge-based
systems
 REFERENCES
"Clinical Decision Support Systems for the Practice of Evidence-
based Medicine"
Authors: Robert A. Greenes, Robert L. Berg, et al.
Journal: Journal of the American Medical Informatics Association,
2012
DOI: 10.1136/amiajnl-2011-000450

"Clinical Decision Support Systems: Theory and Practice"

Author: Eta S. Berner
Publisher: Springer, 2007
ISBN-13: 978-0387708701

"Clinical Decision Support Systems: A Practical Guide to

Development and Use"
Author: Jerome H. Carter
Publisher: CRC Press, 2016
ISBN-13: 978-1482243561

"Introduction to Clinical Informatics"

Authors: Patrice Degoulet, Antoine Geissbuhler, and Christian Lovis
Publisher: CRC Press, 2019
ISBN-13: 978-1138190649
THANK YOU