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| − | CDS Implementation
| + | #REDIRECT [[CDS]] |
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| − | Introduction
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| − | The description by Osheroff, et al. of what they call the "five rights" of CDS is a good summary of what is needed for effective delivery: CDS should be designed to provide the right information to the right person in the right format through the right channel at the right time (i.e.; when the information is needed).
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| − | So, at the stage of planning for any new health IT system, there are some considerations and steps that should be followed to guarantee the system success; such as identifying the needs and functional requirements, deciding whether to purchase a commercial system or build the system, planning for encouraging physicians to use CDS, designing a system to evaluate how well the system has addressed the identified needs[1].
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| − | Benefits and roles of CDS
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| − | -They can alter clinical decision making and actions towards better practices.-
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| − | -Reduce the medication errors.
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| − | -Promote preventive screening and use of evidence based recommendations.
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| − | -Cost reduction and increased patient convenience.
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| − | The overall results indicate the potential of CDS to improve the quality of care.
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| − | These are good reasons for institutions to adopt CDS, but they should do so at their own pace and volition. We should all remember that simple human processes and innovations provide large opportunities for improvement, especially when thoughtfully harmonized with robust technological solutions; so always "Do CDS with users not to them".
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| − | Challenges and considerations
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| − | -Improve the human-computer interface.
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| − | -Disseminate best practices in CDS design, development, and implementation.
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| − | -Summarize patient-level information.
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| − | -Prioritize and filter recommendations to the user.
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| − | -Create an architecture for sharing executable CDS modules and services.
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| − | - Combine recommendations for patients with co-morbidities.
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| − | -Create internet-accessible clinical decision support repositories.
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| − | -Use free text information to drive clinical decision support.
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| − | -Mine large clinical database to create new CDS.
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| − | Those are important points that are critical for achievement of the potential of CDS and improve the quality, safety, and efficiency of healthcare[2].
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| − | Success criteria estimates
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| − | To estimate the success of the system we should look at the following points[3] :
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| − | 1- System quality. 2- Information quality. 3- Usage.
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| − | 4- User satisfaction. 5- Individual impact. 6- Organizational impact.
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| − | References
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| − | 1- Clinical Decision Support Systems :State of the Art
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| − | AHRQ Publication No.09-0069-EF June 2009
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| − | 2- Grand challenges in Clinical Decision Support
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| − | Journal of Biomedical Informatics 41(2008) 387-392
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| − | 3- Determinants of Success of Inpatient Clinical Information Systems: A Literature Review.
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| − | M J van der Meijden, H J Tange, J Troost, et al. JAMIA 2003 10: 235-243
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| − | Submitted by Nashwa Konsoh
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| − | [[Category: BMI512-W-10]]
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