1 / 16

Royal College of Surgeons in Ireland Coláiste Ríoga na Máinleá in Éirinn

Royal College of Surgeons in Ireland Coláiste Ríoga na Máinleá in Éirinn. Overview of utilization and examples of CDSSs and eCPRs Brenda Courtney, Borislav D. Dimitrov,Tom Fahey. Overview of Presentation. Section 1 International Register of Clinical Prediction Rules (CPRs) Section 2

nitsa
Download Presentation

Royal College of Surgeons in Ireland Coláiste Ríoga na Máinleá in Éirinn

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Royal College of Surgeons in IrelandColáiste Ríoga na Máinleá in Éirinn Overview of utilization and examples of CDSSs and eCPRs Brenda Courtney, Borislav D. Dimitrov,Tom Fahey

  2. Overview of Presentation Section 1 • International Register of Clinical Prediction Rules (CPRs) Section 2 • Clinical Decision Support Systems (CDSSs)

  3. Section 1

  4. Electronic CPR Register • International electronic register of CPRs • Searchable electronic resource • Web based user friendly access • Manage and maintain register (Bates et al. 2003)

  5. Registry 1 2 3 4 5 6

  6. Section 2

  7. Clinical decision support system • Clinical decision support system (CDSS) • Systems that are designed to improve clinical decision making • Key points • Integrated with the electronic patient record • Available at the point of care • Computerised knowledge base • Provide patient-specific content

  8. Examples of CDSS

  9. Implementation Clinical Domain : Pharyngitis CPR : Centor Score • CDSS based on Bayesian reasoning • Reasoning engine • Software Algorithm • Combining Clinical Prediction Rules in registry to patient data • Communication mechanism • Input : Electronic Patient Record • Output : Diagnostic and therapeutic recommendations

  10. The Centor Score

  11. CDSS: CENTOR Score

  12. CDSS : Risk Stratification

  13. CDSS Management Recommendations

  14. CDSS Prescribing Recommendations Patient Specific

  15. Challenges to Implementation Knowledge Attitudes Behaviour Sources of Behaviour Change • External Barriers • Lack of time • Resources • GP Software companies • Poor integration into workflow • Lack of agreement • Uncertain application • Unclear applicability • Lack of familiarity • Time Investment • Inadequate infrastructure Barriers to Innovation Adapted from Lang et al.2007

  16. Summary Section 1 • Implement International Register for CPRs • Searchable across clinical domains • Public web based user friendly access • Maintained Section 2 • Implement Clinical Decision Support Systems • Knowledge base • Software algorithms [Bayesian reasoning] • Integrated in electronic patient record

More Related