Human Factors and Design
The human-centered approach is critical in clinical decision support system development, implementation, and utilization. Often the gap between developers and end users can affect clinical outcomes. Input from the end users during the design stage is essential in assuring positive health outcomes for patients. Using the case study on page 140 in Chapter 6 of the Health Informatics: A Systems Perspective text discusses effective CDSS Implementation.
- Identify the Five Frights in this case
- How could you improve at least one of the Five Rights in the rollout of this rule?
- What is the importance of governance in developing and maintaining CDSS rules?
- Based on governance structure, what roles can help avoid the problems described in this case?
- What are the pros and cons of having practicing clinicians build CDSS rules?
Your Paper:
- Must be one to two double-spaced pages in length, excluding the title and reference pages, and formatted according to APA style as outlined in the Writing Center.
- Must include a title page with the following:
- Title of paper
- Student’s name
- Course name and number
- Instructor’s name
- Date submitted
- Utilize a minimum of two scholarly sources, excluding the textbook.
- Must begin with an introductory paragraph and end with a conclusion.
Carefully review the Grading RubricLinks to an external site. for the criteria that will be used to evaluate your assignment.
Expert Solution Preview
Introduction:
Clinical Decision Support System (CDSS) in healthcare is critical in supporting the clinical decision-making process. However, it is essential to ensure that the CDSS is effective and efficient in reducing medical errors in clinical practice. In this paper, we will analyze the case study provided in chapter six of the Health Informatics: A Systems Perspective. We will identify the Five Frights in this case, discuss how to improve at least one of the Five Rights in the rollout of this rule, analyze the importance of governance in developing and maintaining CDSS rules, discuss the roles that can help avoid the problems described in this case, and analyze the pros and cons of having practicing clinicians build CDSS rules.
Identify the Five Frights in this case:
The five Frights in this case include the following:
1. Right patient: The system generated an automatic alert for a patient having a similar name to the intended patient.
2. Right drug: The wrong dose of medication was administered due to the system failing to provide a recommended dosage to the clinician.
3. Right route: The medication route was not specified by the system, leading to the patient receiving an injection instead of an oral medication.
4. Right time: The system failed to provide instructions on the appropriate time of administering the medication, leading to the medication being given at an inappropriate time.
5. Right documentation: The system failed to provide documentation on the medication administered to the patient, making it challenging to keep track of the medication’s progress.
How could you improve at least one of the Five Rights in the rollout of this rule?
One way to improve the Five Rights in the rollout of this rule is to involve the end-users during the design stage. Input from the end-users can help the developers better understand how to design the system to avoid errors that can compromise patient outcomes. Additionally, a comprehensive training program should be put in place to ensure that the clinicians are fully conversant with the CDSS system before implementing it in the clinical setting.
What is the importance of governance in developing and maintaining CDSS rules?
Governance in CDSS development and maintenance is essential in ensuring that the system operates efficiently while minimizing medical errors. It also helps to ensure that the system complies with legal and regulatory requirements, including HIPAA regulations. Proper governance ensures that the system’s performance is monitored regularly and that any issues are addressed promptly. Additionally, governance helps to establish standards for the CDSS and its use in the clinical setting.
Based on governance structure, what roles can help avoid the problems described in this case?
In the governance structure, various roles can help avoid the problems described in this case. The roles include:
1. Senior management: They should set priorities, allocate resources, and provide leadership to ensure that the CDSS meets its objectives.
2. Clinical champions: They should promote the CDSS to other clinicians, coordinate training programs, and monitor the system’s performance.
3. IT professionals: They should provide technical support, manage the system’s implementation, and monitor the system’s security.
4. Compliance professionals: They should ensure that the CDSS complies with regulatory requirements, including HIPAA regulations.
What are the pros and cons of having practicing clinicians build CDSS rules?
Pros:
1. Practicing clinicians have a better understanding of CDSS’s intended use, ensuring that it is more likely to be effective in clinical practice.
2. Clinicians’ participation in the CDSS development can help improve their engagement and acceptance of the system.
Cons:
1. Practicing clinicians may not have the technical expertise required to develop and test the CDSS system.
2. Clinical biases can affect the quality of the system, leading to medical errors.
Conclusion:
In conclusion, CDSS is vital in healthcare, but its development and implementation must ensure that the Five Rights are upheld to ensure patient safety in clinical practice. Governance is essential in developing and maintaining CDSS rules, and a comprehensive training program should be put in place to ensure that clinicians are adequately trained on the system. The roles outlined in the governance structure are essential in avoiding the problems described in the case. Finally, having practicing clinicians build CDSS rules have both pros and cons, and it is essential to weigh them before making a decision.
