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Write this from a nursing student in a clinical rotation setting!!
So far this semester we have discussed different ways technology and data can help to drive nursing care in the form of, evidence-based practice (EBP), clinical decision support (CDS), electronic health record (EHR) and more. As busy nurses caring for complex patients, it can be easy to forget the latest policy or evidence. The use of technology can help to remind us of the latest EBP recommendations, EHR can be designed to collect specific information and then display information based on programed guidelines specific to the patient. This use of technology not only helps to remind healthcare providers of the latest evidence, but also improve patient safety and care. Also, this technology is used in patient portals to remind patients of appointments, preventative care, preps for diagnostic tests, and ect. It can take years of work before you ever see an “alert” in the EHR for the latest evidence. (see the flow of information below)
Research –> EBP–>CDS (data from EHR) –>EHR (in form of alert / pop-up, etc.)
Here is an example of how all of this works together to help the nurse make clinical decisions regarding patient care is:
Research: Looked into causes of adverse medication reactions and ways to decrease
EBP: Evaluated the research and the evidence indicated that adding a reminder / double check helped to decrease adverse medication reactions.
CDS: Uses data that was entered into the EHR to help “drive/fire” an alert based on rules
EHR: The Nurse/healthcare provider will see an “alert” (pt is allergic to PCN, a rule is written that will generate an “alert”)
For this Discussion you will need to answer the following questions:
In your practice or clinical rotation can think of an example of how technology using EBP and CDS are helping to improve patient care and safety?
Identify the problem that is trying to be resolved / the EBP
Why is this important to healthcare and nurses?
Discuss how the CDS works
What data is needed (age, immunization status, VS, allergies, medications, etc.)
Where does the data come from (EHR, personal health device, outside provider, national database, etc.
What does the CDS look like (pop-up, reminder, info button, order set, alarm, etc.)
Discuss how well you think this EBP/CDS works?
Is it effective? Provide a rationale
Workload – does the number of alerts/reminders/ etc. impact the nursing workload – provide an explanation
Too many? Not enough?
Do nurses ignore? or do they find it helpful?
NO references are required!