Clinical Decision Support by Dr. Kindra Scanlon, DNP, FNP-C https://padlet.com/drscanlonUP/990noy71i7bktfhx Padlet: Clinical Decision Support en-us 2022-01-04 20:26:40 UTC 2022-01-26 12:57:52 UTC hello@padlet.com Jolly Daniel danielj241 https://padlet.com/drscanlonUP/990noy71i7bktfhx/wish/1992836784 Clinical Decision Support applications support the clinicians in their complex decision-making processes. It is essentially comprised of software designed to alert, remind, suggest diagnostics, support disease management, manage prescription and much more for clinical-decision making. The system that I choose is the electronic drug dispensing systems (EDDS). This system utilizes the Pyxis MedStation, an automated medication dispensing system supporting decentralized medication management. This Pyxis technology is my favorite because: 1. reduces medication errors by allowing nurses to only remove prescribed medications for their assigned patients and in the specified timeframe. 2. It utilizes a secure login and locked drawers. This reduces mismanagement of medications by clinicians. 3. It is compatible with the hospital's electronic charting system. This provides real time medication updates improving the efficacy of medication administration. 4. Medication orders are entered by the clinician, verified by the pharmacist, stocked by the pharmacy tech and made available for the nurses to use for the the specific patient. This system improves patient safety,  reduce medication errors,  decrease errors involving drug-drug interactions, and overdosing patients. 5. Along with the Pyxis MedStation, the bar-code point-of-care medication administration systems, scans the patient’s arm band before medication administration works together to enhance safe medication administration. ]]> 2022-01-14 18:29:13 UTC https://padlet.com/drscanlonUP/990noy71i7bktfhx/wish/1992836784 Jon Fordyce MD Calc fordyce24 https://padlet.com/drscanlonUP/990noy71i7bktfhx/wish/1994679093 What if I told you there was an app that had countless well-validated clinical scoring tools and calculators to help you make better clinical decisions? Well look no further...
 
I chose the MD+CALC clinical support application. I love this application and use it frequently in primary care because:

1) Firstly, it gives me evidence based practice point-of-care calculators to help guide clinical decision-making all in one place. 

1) It has a simple and easy to use interface. It does not require an excessive number of clicking to find what you need. 

3) It is constantly updated to include the newest decision-making tools and scoring systems. Several of my colleagues have asked where I learned about these calculators and I have to confess, it's often from this app.

4) It’s free! Having access to some of these decision tools may require you to otherwise pay for access to a scholarly or clinical practice journal. 

5) This application allows customization by saving your most recently used applications or tools and even suggesting other tools based on your healthcare specialty. 

If you haven't already, I definitely recommend checking it out!

]]> 2022-01-16 20:34:19 UTC https://padlet.com/drscanlonUP/990noy71i7bktfhx/wish/1994679093 CHennelly https://padlet.com/drscanlonUP/990noy71i7bktfhx/wish/1997057215 Are you looking for a comprehensive tool to support all of your drug-related clinical decisions? Although I do not currently practice at the bedside, Micromedex was essential when I worked on an inpatient pediatric unit. The IV medication compatibility checker helped me make sure I wasn't causing harm to my patients when I had multiple medications to administer. Unfortunately, Micromedex is not free, but its many features would make life as an NP easier for:
  1. Verifying drug dosage details
  2. Looking up off-label uses of drugs
  3. Having access to medication patient education handouts (available in English and Spanish)
  4. Finding information on herbals and alternative supplements/therapies
  5. Identifying loose tablets and capsules
]]> 2022-01-18 04:46:59 UTC https://padlet.com/drscanlonUP/990noy71i7bktfhx/wish/1997057215 Kyla Lindberg EPIC Hyperspace EHR Kyla_Lindberg https://padlet.com/drscanlonUP/990noy71i7bktfhx/wish/1999542284 Some folks may disagree with me, but I really enjoy using EPIC's EpicCare ambulatory and inpatient platforms for my clinical needs. As most of our class may be aware, EPIC is the EHR software that many Portland-based health systems use. Here are my reasons why I enjoy this application:

1) EPIC platforms are aesthetically pleasing to the eye. They provide colorful themes and eye catching symbols and fonts to draw the reader to the most important or frequently-used items on the screen. Having previous experience with paper charts and other EHR software, EPIC is by far the most attractive and intuitive platform I have used. 

2) EPIC integrates external EHR into the patient's chart through a built-in system called CareEverywhere. This way, important encounters, reports, and documents from non-EPIC affiliated systems can be synthesized into the chart for clinician access. This is especially important for clinical trial chart reviews to determine patient eligibility in my line of work. 

3) EPIC has an automated system to alert the user of a potentially dangerous medical situation based on physiological findings in the inpatient setting. The system called MEWS (modified early warning score) flags the chart for the user and automatically alerts the floating RRT (rapid response team) nurse of the MEWS score so they can check in with the direct-care nurse. This promotes early clinical intervention to prevent potential patient injury.  

4) Patients have an access portal through EPIC that allows them to review encounters/labs/imaging and communicate directly with caregivers. 

5) EPIC has graphing/charting functions that allow the clinician to watch trends in values. This can be useful for monitoring important values such as blood pressures or hemoglobin A1c. 

]]> 2022-01-19 04:48:27 UTC https://padlet.com/drscanlonUP/990noy71i7bktfhx/wish/1999542284 Mickey Ye:Mobile Medical APP help patient care hotyfx https://padlet.com/drscanlonUP/990noy71i7bktfhx/wish/2005938329 Have you ever tried to recall the usage and mechanisms of several new medications while catching up your patient car in a busy healthcare environment? Epocrates comes to help you!
Epocrates is a mobile medical reference app that provides clinical reference information on drugs, diseases, and diagnostics to practice clinicians. It is designed for busy healthcare professionals for use at the point of care. This is one of my favorite clinical decision support applications. The followings are my reasons:

1.      It is convenient to download on any smartphone and use it at the point of care when needing immediate medical information or drug information.
2.      This app includes numerous services for medical professionals, such as FDA notifications, COVID-19 resources, drug information (dosage, contraindications, adverse reactions, safety monitoring, and pharmacology), interaction check, drug calculations, and disease diagnosis and management guidance. 
3.      This app also provides CME credits and lectures that are provided by renowned medical doctors. 
4.      This app has helped me many times during my patient care such as explanation of medical terminology, usage of a drug, and double checking the physician’s order. 
5.      It has free version for use, which includes most of the services (drug calculation, drug inform, latest medical news, and FDA notification).  The monthly subscription adds disease diagnosis, lab information, and ICD-10 codes. 

I strongly suggest my fellow colleagues to download it and try it during your practice.




]]> 2022-01-22 00:26:40 UTC https://padlet.com/drscanlonUP/990noy71i7bktfhx/wish/2005938329 Maria Reebs: MyChart EHR via EPIC mariagusenkov https://padlet.com/drscanlonUP/990noy71i7bktfhx/wish/2006034068 One of my favorite clinical decision support applications is the MyChart feature in EPIC EHR systems. 
This EPIC feature has been an integral part of my nursing practice in the last few years.
Here are 5 reasons it is my go-to tool:
1. Results review and release to pt are efficient, reducing clicks and decision fatigue; Follow up labs and orders can be placed in that same encounter, and communicated to the patient instantly.
2. Visualizing pictures that patients send through the app have saved numerous ED visits over the last few years for visual assessment of feeding tubes and surgical incisions. 
3. The messaging feature saves the clinician countless hours on call-backs for straight forward patient questions.
4. As MyChart is connected to patient chart, any multidisciplinary recommendations and other complex elements of care are visible in a click, reducing the probability of communicating to the wrong patient.
5.  Clinicians can import, build, and edit smart sets within the MyChart portal, which decreases decision fatigue and reduces clicks. 

I would also like to point out that from the patient's perspective, the app is very user-friendly, and medical information can be securely accessed in one place within a few clicks. Love this tool!]]> 2022-01-22 03:12:14 UTC https://padlet.com/drscanlonUP/990noy71i7bktfhx/wish/2006034068 Maria Neeley: Merck Manual Professional Version application neeley241 https://padlet.com/drscanlonUP/990noy71i7bktfhx/wish/2008142694 The clinical decision support application that I enjoy utilizing is the Merck Manual Professional Version application. While there are several others that I use as well such as Epocrates and Micromedex, this is my favorite. The Merck Manual Professional Version application offer several features that are aimed at learners of all types. I learned of this application in 2020 from a Nurse Practitioner that I was following. The five reasons that I believe this is my favorite are as follows:

1.      The application is easy to download and includes photos and diagrams for visual learners.
2.      I use this application to view how to videos (assessments and procedures).
3.      It is also a great drug reference.  
4.      You can search several different topics for free.
5.      The application is easy to use and follow. 

If you are a visual learner this application is useful to have as a reference. 

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