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allnurses

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Discussion

Clinical Decision Support

Nov 1, 201114 yr

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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