NEAR EAST UNIVERSITY

NUR 141: INFORMATION MANAGEMENT IN NURSING

TOPIC: CLINICAL DECISION SUPPORT SYSTEMS IN NURSING

PROMISE ADAEZE CHIEDOZIE

20233592
JESSICA OLUCHI CHIME 20215190

Lecturer: Dr. Sameer Hamdan.

TABLE OF CONTENTS

TOPIC ONE: Introduction to clinical decision support system

TOPIC TWO: Components of CDSS

TOPIC THREE: CDSS process

TOPIC FOUR: Purpose of CDSS

TOPIC FIVE: Types of CDSS

TOPIC SIX: Application of CDSS in nursing

TOPIC SEVEN: Benefits and possible harms of CDSS

CLINICAL DECISION SUPPORT SYSTEMS (CDSS) IN NURSING
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 OBJECTIVES

By the end of this presentation, the students will be able to:

 Define clinical decision support systems (CDSS).
 State the components of CDSS.
 Describe the process of CDSS.
 State the purpose of CDSS.
 List the types of CDSS.
 Describe the application of CDSS in nursing.
 State the benefits and possible harms of CDSS.
INTRODUCTION
 People make decisions every day. some of them are
not easy. All actions and deeds of a person in any area
of ​life are the results of decision-making processes.
 It is often necessary to make an important decision
quickly, and having a system that can help make the
right decisions is of great value.
 DDS are information systems that support corporate
or entrepreneurial businesses that are in some way
related to decision making.

CLINICAL DECISION SUPPORT SYSTEMS (CDSS) IN NURSING

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INTRODUCTION
CONTD.
 Medical errors are one of the main problems in the
healthcare field, as a result of advances in
information technology, the method was used to
improve medical services and patients’ health.
 One of the most important and applicable
information systems is clinical decision support
systems (CDSS).

SAMPLE FOOTER TEXT 5

WHAT IS CLINICAL DECISION
SUPPORT SYSTEMS (CDSS)?

Clinical decision support system (CDSS) comprises any IT system,

workflow, or activity designed to deliver:
 Correct information (clinical need or evidence based guidance);
 The right people (care teams, doctors, nurses or patients);
 Through multiple channels (e.g., mobile device, electronic health records
or online portal);
 In the correct formats (e.g., order sets, routings, patient list, dashboards);
 At the right time in the workflow (for decisions or actions).

CLINICAL DECISION SUPPORT SYSTEMS (CDSS) IN NURSING 6

COMPONENTS OF CDSS

There are three essential components of CDSS namely:

Database Software package User interface

CLINICAL DECISION SUPPORT SYSTEMS (CDSS) IN NURSING

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COMPONENTS OF CDSS

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CLINICAL DECISION
SUPPORT SYSTEM
PROCESS
 The user enters patient information, such
as vital signs, allerges, test results etc. into
the system or another interfacing system.
 The interference engine then takes this
information and compares it with the
information available in the knowledge
database.
 An alert will generate if the information
entered meets the criteria of the rules
programmed in the knowledge database.
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CLINICAL DECISION SUPPORT SYSTEMS (CDSS) IN NURSING
PURPOSE OF CDSS
The main purpose of CDSS
is to provide timely
information, usually at the
point of care, to help
inform decisions about a
patient's care.

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CHARACTERISTICS
OF CDSS
There are three key elements of a successful
CDSS namely:
 Access to accurate clinical data.
 Access to patient medical knowledge.
 Ability to use appropriate problem solving
skills.

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TYPES OF CDSS

Knowledge based systems Non-knowledge based systems

This creates rules (IF-THEN statements) This is CDSS that requires the data
in which the system extracts data to source but use artificial intelligence
evaluate the rule and produces an action (AI), machine learning (ML), or
or inference. Rules can be created using statistical pattern recognition instead of
literary, practical or patient centered programming their medical expertise.
evidence.

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ACTIVE AND PASSIVE CDSS

Active systems: These provide Passive CDSS: These requires starting a

clinicians with information got by process by sending a request to the
comparing current patient information system
with preprogrammed rules, guidelines,
and protocols for using the knowledge
base and output engine.

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TYPES OF CDSS

CLINICAL DECISION SUPPORT SYSTEMS (CDSS) IN NURSING

CLINICAL DECISION SUPPORT SYSTEMS (CDSS) IN NURSING

CLINICAL DECISION SUPPORT SYSTEMS (CDSS) IN NURSING

CLINICAL DECISION SUPPORT SYSTEMS (CDSS) IN NURSING 14

 CDSS can be applied in nursing in the following ways;
1. Enhanced diagnosis and decision making: AI alogorithms can
analyse vast amounts of patient data such as medical records
and diagnostic images to assist nurses in accurate and timely
diagnosis. They can also provide;
 Evidence-based recommendations.
 Flag potential risks.
 Facilitate personalized treatment plans.

APPLICATIONS OF
CDSS IN NURSING

CLINICAL DECISION SUPPORT SYSTEMS (CDSS) IN NURSING 15

 2. Clinical decision support: CDSS enhance nurses’ ability to make
clinical decisions. It can offer predictions and suggestions with
accuracy and specificity beyond human capacity. Some of which
include;
 Automatically generating nursing diagnoses.
 Fall risk prediction.
 Care plans to prevent catheter-associated urinary tract infections,
etc.

APPLICATIONS OF
CDSS IN NURSING

CLINICAL DECISION SUPPORT SYSTEMS (CDSS) IN NURSING 16

 3. Predictive analytics and early intervention:
CDSS can identify patterns and trends in patient
data to predict adverse events. This enables nurses
to intervene proactively, providing timely care and
preventing complications.

APPLICATIONS OF
CDSS IN NURSING

CLINICAL DECISION SUPPORT SYSTEMS (CDSS) IN NURSING 17

 4. CDSS monitoring systems can continuously
analyse patient vital signs, detect anomalies and
issue alerts when immediate attention is
required. This enables nurses to monitor
multiple patients simultaneously, leading to
APPLICATIONS OF more efficient and comprehensive care.
CDSS IN NURSING

CLINICAL DECISION SUPPORT SYSTEMS (CDSS) IN NURSING 18

 5. Workflow optimization and
efficiency: here routine tasks can be
automated such as documentation and
data entry, allowing nurses to focus more
on direct patient care.

APPLICATIONS OF
CDSS IN NURSING

CLINICAL DECISION SUPPORT SYSTEMS (CDSS) IN NURSING 19

 6. Telehealth and remote patient: monitoring
artificial intelligence enabled telehealth
platforms facilitate remote consultations,
virtual patient monitoring and remote care
coordination . Nurses can;
 Remotely assess patients’ conditions.
 Provide guidance to patients.
 Offer support.

APPLICATIONS OF All of these improve access to healthcare services

and reducing hospital remissions.
CDSS IN NURSING

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BENEFITS OF CDSS

Patient safety: Clinical management: Cost containment: Administrative Diagnostic support:

reducing incidence of adherence to clinical reducing test and order function/automation: providing
medication/prescribing guidelines, follow-up duplication, suggesting diagnostic code diagnostic
errors and adverse and treatment cheaper medication or selection, automated
events reminders treatment options, documentation and
suggestions based
automating tedious steps
note autofill on patient data,
to reduce provider automating output
workload
from test results
ONE TWO THREE FOUR FIVE

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BENEFITS OF CDSS

Diagnostic support: Patient decision support: Better documentation Workflow improvement:

imaging, laboratory and decision support CDSS can improve and
pathology: augmenting the administered directly to expedite an existing clinical
extraction, visualization and patients through workflow in an electronic
interpretation of medical personalhealth records and health record with better
images and laboratory test other systems retrieval and presentation of
results data
SIX SEVEN EIGHT NINE

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POSSIBLE HARMS OF CDSS

 Alert fatigue: a phenomenon where too  System and content maintenance  Negative impact on the user:
many insignificant alerts or CDSS challenges: as practice changes,
recommendations are presented, and
one example is reliance on,
there can be difficulty keeping or excessive trust in the
providers start to dismiss them
the content and knowledge rules
regardless of importance. accuracy of the system.
that powers CDSS up to date.
 Financial challenges: setup
 Disrupted /fragmented workflow: can be epensive (capital or
CDSS can also disrupt existing  Dependency on computer
workflows if they require interaction
human resource), and long
literacy: CDSS may require a
external to the electronic health records term cost-effectiveness is not
very high technological
or don’t match the providers’ real world
proficiency to use. guaranteed.
information processing sequences.

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CONCLUSION

 Several tools for the healthcare industry are now accessible on the market.
The CDSS helps to enhance the quality and safety of healthcare. The
majority of CDS apps are compatible with electronic health records. It
may , however, be utilized on its own.
 Its important to remember that the clinical decision support system isn’t
meant to take the place of a nurses’ knowledge and expertise; rather, its
meant to improve the hospital’s outcomes.

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 THANK
YOU

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