Effective Utilization of CDSS in Clinical Practice

Discussion Guidelines Prepared by: Dr. Nasriah Zakaria

Learning Outcomes To enable students to search and present Medical Informatics information to others To train student to express their opinions/ideas using discussion method To allow students to interact with their course mates and lecturers in discussing related topics to Weekly lecture

Discussion Requirements Your Discussion Your Discussion Start the discussion by providing arguments/answers arguments/answers to the question given Relate Relate to Lecture notes Provide some examples some examples to support your answer Provide logical reasoning logical reasoning to your arguments Write in full sentences full sentences and avoid point-form sentences Recommended length: 150-300 words providing

Discussion Requirements Replying to others within your Group Replying to others within your Group Reply to at least 2 students at least 2 students discussion Provide comments whether you agree or disagree with their points. comments to others discussions and state Provide explanation explanation to your arguments Recommended length: 60-100 words

Discussion Requirements Conclude your discussion by summarizing summarizing your opinion. Include reference list when taking any examples taken from web and literature. Any examples from your personal life can be used. Use words like From my observation . , Based on what I see . Must be written using your own paste from website, books, other students work using your own words words- No cut and Writing style: polished and professional : polished and professional presentation of work. Use spell-checker to avoid typo.

Grading Criteria Fulfill all requirements in Discussion Content each group will be given 4 marks for each week s discussion If group discussion is found inadequate improvement improvement, the group must ADD additional information to fulfill the requirements. Only then full marks will be given. inadequate and needs needs For any plagiarism found, 0 marks will be given to the group members.

Sample Discussion What is the effect of CDSS in on the clinical practice ? CDSS as a definition is " a system which provide clinicians or patients with computer generated clinical knowledge and patient - related information , intelligently filtered or presented at appropriate times,to enhance patient care " (1) . Actually , is an effective system It rises the efficacy of the physician works , provide the needed information and guide them In many clinical aspects for example : In prescribing treatments CDSS can show ADEs and the duplication of the thereby . So, It acts like a guide because many physician drug ordering errors are mainly due to lack of knowledge about (dose,frequency..etc) . Also , It shows patient related diseases , his/her drugs list , his/her lap results and It can interpret them . Additionally , there is one type of CDSS which is reactive alerts and reminder . It gives notification for any errors or contraindication of procedure therefore this system will give a greet effect in reducing medical errors if It is used properly

Sample Discussion What is the effect of CDSS in on the clinical practice in the relation of the physician and patient ? In my opinion , this system will potentiate the doctor-patient relationship because It improves the patient care . So It will increase the safety through preventing the medical errors and enhance the quality of the medical services through increase the clinician time and clinical documentation. In addition , it improve the health care delivery by reducing costs for example ( It can search for cheaper drugs for specific disease with the same efficacy of other brands ) . In a study conducted in Vanderbilt Children's PICU to assess the rule of CPOE ( CDSS is part of this system ) in preventing the medication errors and the results show that after implantation of COPE there is a greet reduction of medication prescription errors around 100% (2) . So we suspect that the patient will be more satisfied with there doctors . However the physician should realize this system dose not replace his own decision ,It just a facilitator and they have to be trained because taking an extending period of time while reading or figure out some thing will contribute to make the patient resistance to this system

Sample Discussion (Reply others) I agree that the patient could be resistance to this system because may be he will feel that he was neglected and that mainly depends on the doctor behaviors . as what I said previously , the doctor should not rely on this system and neglect his own thinking . Also, he should explains to the patient that he uses this system to make sure about the patient data and information so there is no time wasting .So , by explaining and answering patient questions , we can rise the patient education about this system and therefore the population at all .

Conclusion Discussion should contain: Your own discussion with arguments and justifications Your responses to 2 students discussions Discussion should be: Original no plagiarism Free of typo Written in full sentences and formal English language

Discussion Etiquette Support and encourage participation Argue and discuss using concrete evidences- from website, from literature Avoid saying I agree or I disagree without any justification Avoid flaming and boycott behaviors Not everyone will respond to your Discussion, you will not be graded based on this Avoid plagiarism

How to use Discussion Board on Blackboard Log into lms.ksu.edu.sa Choose CMED 301 On the left menu, look for User and Group , click on this Choose your Group (F1 , F2 or ) Enroll yourself in your Group Go to Group Discussion Board Choose Discussion #xx (see Discussion Schedule for #) Create Thread to begin (only create 1 thread and everyone response to the same thread)

Discussion Schedule Group Number Group Number F1, F2, F3, F4, F5 A1, A2, A3, A4 B1, B2, B3 F6, F7, F8, F9, F10 A1, A2, A3, A4 B1, B2, B3 Discussion Discussion # (*) #1, #3, #5,#7 # (*) #2, #4,#6,#8 Check the course schedule , For examples: Discussion #1= Week 2, Discussion #6- Week 10 etc.

Some tips on Discussions http://pharma-career.vinvarun.biz/2008/09/how- to-prepare-yourself-to-participate.html http://www.studygs.net/intstudy.htm