Analysis of Nursing Clinical Decision Support Requests and Strategic Plan in a Large Academic Health System

Karen Bavuso, Sharon Bouyer-Ferullo, Denise Goldsmith, Amanda Fairbanks, Emily Gesner, Charles Lagor, Sarah Collins, Kimberly Whalen
<span title="">2016</span> <i title="Schattauer GmbH"> <a target="_blank" rel="noopener" href="https://fatcat.wiki/container/kmly2oujtfb67pwdjaqxmsj7am" style="color: black;">Applied Clinical Informatics</a> </i> &nbsp;
SummaryTo understand requests for nursing Clinical Decision Support (CDS) interventions at a large integrated health system undergoing vendor-based EHR implementation. In addition, to establish a process to guide both short-term implementation and long-term strategic goals to meet nursing CDS needs.We conducted an environmental scan to understand current state of nursing CDS over three months. The environmental scan consisted of a literature review and an analysis of CDS requests received from
more &raquo; ... cross our health system. We identified existing high priority CDS and paper-based tools used in nursing practice at our health system that guide decision-making.A total of 46 nursing CDS requests were received. Fifty-six percent (n=26) were specific to a clinical specialty; 22 percent (n=10) were focused on facilitating clinical consults in the inpatient setting. "Risk Assessments/Risk Reduction/Promotion of Healthy Habits" (n=23) was the most requested High Priority Category received for nursing CDS. A continuum of types of nursing CDS needs emerged using the Data-Information-Knowledge-Wisdom Conceptual Framework: 1) facilitating data capture, 2) meeting information needs, 3) guiding knowledge-based decision making, and 4) exposing analytics for wisdom-based clinical interpretation by the nurse.Identifying and prioritizing paper-based tools that can be modified into electronic CDS is a challenge. CDS strategy is an evolving process that relies on close collaboration and engagement with clinical sites for short-term implementation and should be incorporated into a long-term strategic plan that can be optimized and achieved overtime. The Data-Information-Knowledge-Wisdom Conceptual Framework in conjunction with the High Priority Categories established may be a useful tool to guide a strategic approach for meeting short-term nursing CDS needs and aligning with the organizational strategic plan.
<span class="external-identifiers"> <a target="_blank" rel="external noopener noreferrer" href="https://doi.org/10.4338/aci-2015-10-ra-0128">doi:10.4338/aci-2015-10-ra-0128</a> <a target="_blank" rel="external noopener" href="https://www.ncbi.nlm.nih.gov/pubmed/27437036">pmid:27437036</a> <a target="_blank" rel="external noopener" href="https://pubmed.ncbi.nlm.nih.gov/PMC4941835/">pmcid:PMC4941835</a> <a target="_blank" rel="external noopener" href="https://fatcat.wiki/release/ookecbuxcjbafp5bfvfdjcqrfy">fatcat:ookecbuxcjbafp5bfvfdjcqrfy</a> </span>
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