Clinical Decision Support

Specialties Informatics

Published

Specializes in Rural Health.

I'm interested in seeing what everyone is using for their clinical decision support rules.

I've been working on one this morning:

  • Recommend HGBA1C on all patients admitted with diabetes that have not had one checked in the past year.

Here's a couple more I've seen:

  • If HGBA1C > 7.0 and pt. not on any oral hypoglycemics, prompt to order Metformin
  • If >65 y/o and no record of pneumovax, prompt to order this
  • If >18 y/o and not record of pap smear for last 12 months, prompt to schedule and discharge

One of the problems I have with this is that HIM is not concurrently coding, so if the CDS requires a diagnosis before it will trigger then it doesn't do much good b/c the diagnosis will not be in. I may have a REALLY hard time getting nursing to enter the patient diagnosis into the patient's problem list, but if I can get them to do at least that, then it would help.

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