Resolving a clinical concern using cpoe and cdss

Cardiac Surgery

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Excerpt from Term Paper:

Computerized Service provider Order Entrance (CPOE) bundled with Medical Decision Support System (CDSS) is regarded as an important system to get enhancing the product quality, safety, and efficiency of care (Simon et al., 2013). This method helps in boosting care through preventing and/or lessening medication errors and promoting the utilization of evidence-based treatment options. CPOE is simply defined as virtually any system through which clinicians directly enter prescription drugs, tests, or procedure requests. Once these orders will be entered, they can be transmitted for the responsible specialist for performing it including laboratory and pharmacy department. This daily news will discuss the use of CPOE system bundled in a CDSS to address electrolyte replacements in patients that have undergone heart failure surgeries, the clinical concern involving medication.

Clinical Issue Involving Medication

The selected medical issue involving medication for this assignment is usually electrolyte substitutes in patients who have gone through cardiac surgeries given that electrolyte disorders are normal after cardiac surgery (Couture, Lé tourneau, Dubuc, Williamson, 2013). For example, it is reported that electrolyte disorders just like hypokalemia, hypomagnesemia, hypophosphatemia, and hypocacelmia take place in 34%, 46%, 83%, and 7. 8% of these patients respectively (Couture, Lé tourneau, Dubuc, Williamson, 2013). Electrolyte disorders inside the aftermath of a cardiac medical procedures has become a significant clinical issue because it is associated with complications like seizure and tetany, hemodynamic lack of stability, impaired diaphragmatic contractility and cardiac arrhythmias.

Existing studies have shown that the complications appearing from electrolyte disorders could be reduced to help enhance medical outcomes among these critically-ill patients. Based on the conclusions of recent studies with this clinical concern, the use of repletion protocols works more effectively as compared to common methods of conducting electrolyte surfeit. For this project, the specialist will focus on potassium chloride as a medicine whereas potassium is the electrolyte contributing to the electrolyte disorder.

Rationale lurking behind the Design Advancement

The rationale lurking behind development of this kind of CPOE system to be included clinical decision support method is that potassium is a key intracellular cation whose disproportion can have severe impacts on cells. Since potassium is a great electrolyte, potassium imbalance plays a role in some of the most common electrolyte disorders such as hypokalemia. While there will be regulations intended for repletion of this electrolyte using potassium chloride as the medication , physicians tend to forget using these types of guidelines. Basically, clinicians are likely to forget checking the laboratories to exchange potassium, which contributes to electrolyte disorders. Consequently , this system can be developed to assist provide pointers to physicians to carryout suitable laboratory monitoring in terms of this electrolyte (Ranji, Rennke Wachter, 2013).

The Digital Provider Buy Entry (CPOE) system with this project will give you alerts to aid remind rns to check the laboratory pertaining to repletion with this electrolyte to boost patient final results. The system provides alerts for the premise that normal serum potassium is usually between several. 6mEq/L and 5. 0mEq/L, but four. 0mEq/L may be the optimal level for most people (Gwinnett Medical center System, 2017). The signals in the CPOE system, that is administered during the duration of treatment, are the following:

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