10th Reporter

Incorporating evidence:

Use of computer- based clinical

decision support system for health
professionals

Po, Niña Karinina A.

BSN 2- L
 TYPES OF DSS
Administrative and
WHAT IS DSS?
organizational systems
Automated tools designed to
included in the field of
support decision-making
healthcare decision support
activities and improve the
are systems that support
decision-making process and
organizational,
decision outcome.
executive/managerial,
Clinical Decision Support
financial, and clinical
System
decisions.
Designed to support
Integrated System
healthcare providers in
able to support outcomes
making decisions about
performance management
delivery and management of
patient care.
CHARACTERISTICS OF DSS
Nursing Decision Support
Functional Class
System (NDSS)
feedback provided to the
Helps nurses improve their
clinician, the organization of
effectives, identify
the data, the extent of
appropriate interventions,
proactive information
determine areas in need of
provided, the intelligent
policy or protocol
actions of the system and
development, and support
the communication method
patient safety initiatives and
Logical Class
quality improvement
includes substitute therapy
activities.
alerts, drug family checking,
PURPOSE OF DSS
structured entry, consequent
Assist in problem solving
actions, parameter checking,
Support the judgement of a
redundant utilization
manager or clinician
checking, relevant
Improve the effectiveness of
information display, time-
the decision-making process
based checks, templates and
order sets, and profile
display and analysis

Structural Class
include triggering, dispatching,
process control, action
choices, notification or
acknowledgement, action
execution and rule editor
CLASSIFICATIONS OF CDSS
Data-based system
capitalized on the
fundamental input into any
intelligent system, data;
provide decision support with
a population perspective and
use routinely collected
longitudinal, cohort and cross-
sectional database.
Model-based system
are driven by access to and
manipulation of a statistical,
financial, optimization and/or
simulation model
Knowledge-based System
rely on expert knowledge that
is either embedded in the
system or accessible from
another source and uses some
type of knowledge acquisition
process to understand and
capture the cognitive
processes of healthcare
providers.
Graphics-based System
take advantage of the user
interface to support decisions
by providing decision “cues” to
the user in the form of color,
graphical representation
options, and data visualization
ELEMENTS FOR REAL-TIME
CDSS
Integrated real-time patient
database
needed to provide context
for results interpretation
Data-drive mechanism
allows event triggers to go
into effect and activate alerts
and reminders automatically
Knowledge engineer
who can translate the
knowledge representation
scheme used in the system
Time-driven mechanism
to permit automatic
execution of programs at a
specific time to alert provider
to carry out a specific action
or insure that the action had
been completed
Long-term clinical data
repository
data collected over time from
a variety of sources allowing
a longitudinal patient record.