BME203 Seminar 3 Flashcards
What type of CDS helps reduce errors by warning about potential issues like allergies or missed actions?
Alerts and Reminders – Example: Drug-allergy alert, vaccination reminder.
Which type of CDS provides standardized, evidence-based pathways for managing specific conditions?
Clinical Guidelines – Example: Diabetes management pathway.
What type of CDS helps clinicians narrow down or suggest possible diagnoses?
Diagnostic Support – Example: Pop-up suggestions based on symptoms, ruling out dangerous conditions first.
Which CDS tool provides a pre-grouped set of tests or treatments for specific diagnoses?
Order Sets – Example: UTI order set (e.g., urinalysis, antibiotics, patient advice).
What type of CDS uses patient data to estimate risk and identify those needing close monitoring?
Predictive Tools – Example: Sepsis risk score, early warning score.
What is Clinical Decision Support (CDS)?
Clinical Decision Support (CDS) is a system or tool that provides clinicians with patient-specific information and evidence-based guidance to support clinical decision-making and improve patient care.
Problems with implementing CDS?
- Workflow fit
- Alert fatigue
- Standards & interoperability
- Knowledge maintenance
- Clinician user resistance
What are the 5 Rights of Clinical Decision Support (CDS)?
- Right Information – Evidence-based, accurate content
- Right Person – Delivered to the appropriate clinician
- Right Format – Shown in a helpful way (e.g., alert, checklist)
- Right Channel – Sent through the correct system (e.g., EHR)
- Right Time – Given at the point of care when decisions are made
How to measure the value of CDS?
Value = (quality+safety)/cost
Quality : provide care appropriate for condition, good recovery & outcomes
Safe: reduce errors, minimise side effects
Cost: reduce duplications, reduce length of stay, simplest treatment
