Sunday, November 2, 2008

Module 4 - Question #2

Nurses are human, and it’s not humanly possible to collect, organize, store, and readily recall all the data that could be used to best serve our patients….not to mention also keeping up with all the latest evidence developments! Thompson (2003) described that many nursing clinical decisions are made from the ‘evidence’ of their experiential knowledge. And, Kahneman & Tversky (1974) mention how more frequent/common occurrences are easier & quicker to recall than less common ones. These situations (plus lack of time) can lead to errors in judgment. Clinical errors have lead to many of the regulations we face in healthcare today.

A clinical decision support system (CDSS) has an advantage over the human brain in that it has the capability to hold a tremendous amount of organized/categorized data. The application of this tool can provide reminders and assist with decision-making, but it can only provide data based on its programming and may lack the necessary variables to handle a complex patient. The data from a CDSS may have the potential to save nursing time in a one-stop search, but would still need to be used in combination with nursing experience and judgment.

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