DNP 805 Topic 3 DQ 1 Describe how CPOE and CDSS embedded in the EHR can be useful towards a specific patient population of your choice
Grand Canyon University DNP 805 Topic 3 DQ 1 Describe how CPOE and CDSS embedded in the EHR can be useful towards a specific patient population of your choice-Step-By-Step Guide
This guide will demonstrate how to complete the DNP 805 Topic 3 DQ 1 Describe how CPOE and CDSS embedded in the EHR can be useful towards a specific patient population of your choice assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for DNP 805 Topic 3 DQ 1 Describe how CPOE and CDSS embedded in the EHR can be useful towards a specific patient population of your choice
Whether one passes or fails an academic assignment such as the Grand Canyon University DNP 805 Topic 3 DQ 1 Describe how CPOE and CDSS embedded in the EHR can be useful towards a specific patient population of your choice depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for DNP 805 Topic 3 DQ 1 Describe how CPOE and CDSS embedded in the EHR can be useful towards a specific patient population of your choice
The introduction for the Grand Canyon University DNP 805 Topic 3 DQ 1 Describe how CPOE and CDSS embedded in the EHR can be useful towards a specific patient population of your choice is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
How to Write the Body for DNP 805 Topic 3 DQ 1 Describe how CPOE and CDSS embedded in the EHR can be useful towards a specific patient population of your choice
After the introduction, move into the main part of the DNP 805 Topic 3 DQ 1 Describe how CPOE and CDSS embedded in the EHR can be useful towards a specific patient population of your choice assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for DNP 805 Topic 3 DQ 1 Describe how CPOE and CDSS embedded in the EHR can be useful towards a specific patient population of your choice
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for DNP 805 Topic 3 DQ 1 Describe how CPOE and CDSS embedded in the EHR can be useful towards a specific patient population of your choice
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
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DNP 805 Topic 3 DQ 1 Describe how CPOE and CDSS embedded in the EHR can be useful towards a specific patient population of your choice
Topic 3 DQ 1
Describe how CPOE and CDSS embedded in the EHR can be useful towards a specific patient population of your choice. Identify one element of either the CPOE or CDSS you would improve that could enhance the effectiveness of the system for that patient population.
REPLY TO DISCUSSION
The use of computerized provider order entry (CPOE) and clinical decision support systems (CDSS) have greatly impacted the healthcare system. In comparison to the previous workflow where providers would have to physically handwrite orders or provide telephone orders, they can now easily enter their orders electronically. This is beneficial for all patient populations, especially adults who are admitted to the intensive care units (ICU). CPOE has contributed to patient safety in the ICUs since orders are very specific. CPOE and CDSS have prevented medication errors by about 55% as the system is able to catch miscalculations ahead of time (Metcalfe et al., 2017). Having the ability of CPOE and CDSS in place has also prevented uncertainties caused by illegible handwriting, which has also led to errors and patient harm in the past. CPOE has also improved administration time as it has enabled for faster communication between other departments such as the laboratory and pharmacy (Abraham et al., 2020). CPOE and CDSS have also contributed to cost reduction as it helps eliminate duplicate and unnecessary orders. In my professional opinion, having order sets in place would be an advantage for ICU patients. Since patients in the ICU have high acuities and need more frequent attention, having order sets in place for the physicians may help speed the admission process. Order sets help by ensuring appropriate orders are in place, and none are missed (Abraham et al., 2020).
References
Abraham, J., Kitsiou, S., Meng, A., Burton, S., Vatani, H., & Kannampallil, T. (2020). Effects of CPOE-based medication ordering on outcomes: an overview of systematic reviews. BMJ Quality & Safety, 29(10), 1–2. https://doi-org.lopes.idm.oclc.org/10.1136/bmjqs-2019-010436
Metcalfe, J., Lam, A., Lam, S. S. H., Clifford, J. ‐ M., & Schramm, P. (2017). Impact of the introduction of computerized physician order entry ( CPOE) on the surveillance of restricted antimicrobials and compliance with policy. Journal of Pharmacy Practice & Research, 47(3), 200–206. https://doi-org.lopes.idm.oclc.org/10.1002/jppr.1227
REPLY
ICU is one of those areas that have many alerts, reminders, algorithms and the high risk of medication errors and alert fatigue. The
constant alarms beeping whether monitors or pumps plus orders that have algorithms and values that must be checked prior to administering of specific drugs and window periods that must be observed. It is so heartwarming to see that systems are really in place to minimize errors in a population that is already compromised by nature of the events that contributed to their placement in ICU.
REPLY
Thank you for the post. I agree with all the advantages seen in using CPOE / CDSS in the different patient population, either in the acute setting or community setting. I think these innovation of technologies continue to progress and growth each day. As nurses need to communicate with the other members of the healthcare in order to ensure that those orders will really benefit our patients. We need to work hand on hand with these technologies and importantly, we anticipate and think critically with any situations that possibly change the system. Stay safe.
REPLY
Greetings Audimar! I agreed with you when you mentioned that CPOE has contributed to patient safety in the ICUs since orders are precise. CPOE can offer safety features such as allergy alerts, drug-drug, drug-food, and drug-disease interaction checks, suggest safe medication dose ranges and intervals, guide users in implementing clinical practice guidelines and care pathways, and embed reference material (Bartman et al., 2019). In addition, CPOE can serve as a patient safety enhancer through medicinal error elimination as well as reduction. Moreover, CPOEs can prove crucial for efficiency when concerning the submission of radiology, and lab, alongside medication towards their respective facilities and/or departments (Bartman et al., 2019). Likewise submitting medication, lab, and radiology orders to their respective departments or facilities. Bartman et al. (2019) also concluded that policies were designed to increase flexibility and safety, led to an increased coordination load on the healthcare team, and created new sources of error. However, one of the biggest challenges in implementing CPOE is that it can disrupt workflow for several reasons. The first one is training. The medical staff, including doctors, nurses, and pharmacists, must learn to use the system.
Check Out Also: DNP 805 Topic 3 DQ 2 Select a particular medication or clinical problem
Reference
Bartman, T., Bertoni, C. B., Merandi, J., Brady, M., & Bode, R. S. (2019). Patient safety: what is working and why?. Current Treatment Options in Pediatrics, 5(2), 131-144.
REPLY
The office of the National Coordinator (ONC) for Health Information Technology defined clinical decision-support system (CDSS). It is a system that supports clinical decisions of health care practitioners, patients and other knowledgeable people to guide the clinical practice with filtered specific information to be presented at the right time to help improve the health of patients and to advance health care in general. This clinical decision support has a variety of tools which is used to improve decisions made in the clinical workflows. Some of the tools in CDSS are alerts and reminders that are computerized for the patients and clinicians, specific orders that are set to a specific condition, data reports that are focused on patients, supports with diagnostics and templates for documentations (Alexander, Hoy, & Frith, 2019). Computerized provider order entry (CPOE) is the process by which health care providers (HCP) enter and send orders and treatment instructions such as medications, laboratory, and radiology through the computer applications and not by using paper, fax, or telephone (HealtIT.gov., 2018).
The use of CDSS and CPOE that is embedded within the EHR can help to reduce errors, improve the efficiency and the safety of the care processes, increases consistency in decisions made thereby reducing increased variations which are used to provide care for the patients as well as improve the efficiency of reimbursements for care provided. It can also delay and hinder the delivery of care when the focus is on problems that lack importance and widening of digital inequalities. When the HCP enter orders into the computer, it interfaces with the EHR. It is analyzed and gives a clinical picture for the HCP of the situation of the patient. If it is abnormal, it triggers a parameter alert for the HCP to seek out the problem and perform an intervention (Alexander, Hoy, & Frith, 2019) (Mebrahtu, Skyrme, Randell, Keenan, Bloor, Yang, Andre, Ledward, King, & Thompson, 2021).
One of the tools that CDSS and CPOE is used in the cardiac patients is in the alerts that are used in the telemetry units for the heart monitors. When the patient is in distress when the vital signs are abnormal either too low or too high, the CDSS begins to alert to draw the attention of the HCP. This helps to monitor the patients and intervene promptly to prevent them from going into severe cardiac events.
One of the elements that I would like to improve would be when the monitors come off or when the patient is moving so much the alarm continues to beep. There is no distinction with the different alarms. The alarms all sound the same except when it is ventricular tachycardia or ventricular fibrillation. So, I would like to make different alarm sounds for each specific situation so that the HCP is not wandering what is causing the alarm and wasting time deciphering what is causing the alarm.
References:
Alexander, S., Hoy, H., & Frith, K. (2019). Applied clinical informatics for nurses (2nd ed.). Jones & Bartlett Learning.
HealtIT.gov. (2018, March 21). What is computerized provider order entry? | HealthIT.gov. ONC | Office of the National Coordinator for Health Information Technology. https://www.healthit.gov/faq/what-computerized-provider-order-entry
Mebrahtu, T. F., Skyrme, S., Randell, R., Keenan, A., Bloor, K., Yang, H., Andre, D., Ledward, A., King, H., & Thompson, C. (2021). Effects of computerized clinical decision support systems (CDSS) on nursing and allied health professional performance and patient outcomes: A systematic review of experimental and observational studies. BMJ Open, 11(12), e053886. https://doi.org/10.1136/bmjopen-2021-053886
REPLY
This is a great suggestion as the primacy of how health care facilities supervise alarms is one of the Safety goals of the Joint commission (Ruppel, 2018). Alarm fatigue can lead to persons not responding to the alarm when it goes and can overlook life-threatening changes in a patient’s condition so this is really a good idea. Thanks for sharing.
Clinical decision support includes a variety of tools and interventions, computerized as well as non- computerized. Non-computerized tools include clinical guidelines or digital clinical decision support resources. Clinical decision support systems (CDSS) are characterized as tools for information management. Examples of such CDSS include laboratory information systems (LISs) highlighting critical care values or pharmacy information systems (PISs) presenting an alert ordering a new drug and proposing a possible drug-drug interaction. Most focus in the past few decades however has gone to tools to provide patient-specific recommendations called advanced CDSS. Advanced CDSS may include, checking drug disease interactions, individualized dosing support during renal impairment, or recommendations on laboratory testing during drug use (P. Kubben et al. (eds.), 2019).
CPOE being the system that enabled physicians to prescribe medication using electronic entry. The combination of CPOE and CDSS helped physicians choose the right drug in the right dose and alert the physician during prescribing if the patient is allergic to any medications. Combining CPOE with basic medication related CDSS meant a giant leap in safer medication prescribing
CPOE systems are generally paired with some form of clinical decision support system (CDSS), which can help prevent errors at the medication ordering and dispensing stages and can improve safety of other types of orders as well. CDSS suggests default values for drug doses, routes of administration, and frequency and may offer more sophisticated drug safety features, such as checking for drug allergies or drug–drug or even drug–laboratory interactions, CDSSs prevent not only errors of commission but also of omission (Mamlin BW, Tierney WM, 2016).
CPOE offers numerous advantages over traditional paper-based order-writing systems such as averting problems with handwriting, similar drug names, drug interactions, and specification errors; integration with electronic medical records, clinical decision support systems, and adverse drug event reporting systems (Grizzle AJ, Mahmood MH, Ko Y, et al, 2019).
Despite evidence that these systems can improve patient care and safety, they have not been widely adopted. Institutions like the place where I will be doing my clinical are hesitant to invest considerable resources into these systems without proof that they will be cost-effective. Many providers remain skeptical that these systems will improve patient care without overburdening them with additional tasks, these concerns need to be addressed.
References
Grizzle AJ, Mahmood MH, Ko Y, et al, (2019). Computerized Provider Order Entry: https://psnet.ahrq.gov/primer/computerized-provider-order-entry
Mamlin BW, Tierney WM, (2016). The promise of information and communication technology in healthcare: extracting value from the chaos. Am J Med Sci. 2016;351(1):59–68.
- Kubben et al. (eds.), (2019). Fundamentals of Clinical Data Science, https://doi.org/10.1007/978-3-319-99713-1_11