Computerized Provider Order Entry (CPOE) integrated with Clinical Decision Support System (CDSS) is regarded as a crucial system for enhancing the quality, safety, and efficiency of care (Simon et al., 2013). This system helps in enhancing care through preventing and/or lessening medication errors and promoting the use of evidence-based treatments. CPOE is basically defined as any system through which clinicians directly enter medications, tests, or procedure orders. Once these orders are entered, they are transmitted to the responsible clinician for executing it such as laboratory and pharmacy department. This paper will discuss the use of CPOE system integrated in a CDSS to address electrolyte replacements in patients who have undergone cardiac surgeries, which is a clinical issue involving medication.
Clinical Issue Involving Medication
The selected clinical issue involving medication for this assignment is electrolyte replacements in patients who have undergone cardiac surgeries given that electrolyte disorders are common after cardiac surgery (Couture, Létourneau, Dubuc, & Williamson, 2013). For instance, it is reported that electrolyte disorders like hypokalemia, hypomagnesemia, hypophosphatemia, and hypocacelmia occur in 34%, 46%, 83%, and 7.8% of these patients respectively (Couture, Létourneau, Dubuc, & Williamson, 2013). Electrolyte disorders in the aftermath of a cardiac surgery has become a major clinical issue because it’s associated with complications like seizure and tetany, hemodynamic instability, impaired diaphragmatic contractility and cardiac arrhythmias.
Existing studies have shown that the complications emerging from electrolyte disorders can be reduced to help enhance clinical outcomes among these critically-ill patients....
References
Couture, J., Létourneau, A., Dubuc, A., & Williamson, D. (2013). Evaluation of an Electrolyte Repletion Protocol for Cardiac Surgery Intensive Care Patients. The Canadian Journal of Hospital Pharmacy, 66(2), 96–103.
Gwinnett Hospital System. (2017). Electrolyte Replacement Cardiovascular Surgery Protocol. Retrieved September 18, 2017, from http://www.gwinnettmd.org/forms_active/Physician_Order_Sets/40046-Electrolyte%20Replacement%20Protocol%20for%20Cardiac%20Patients.doc
Ranji, S.R., Rennke, S. & Wachter, R.M. (2013, March). Computerized Provider Order Entry With Clinical Decision Support Systems: Brief Update Review. In: Making health care safer II: an updated critical analysis of the evidence for patient safety practices (chap. 41). Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK133383/#_ncbi_dlg_citbx_NBK133383
Simon et al. (2013, June 24). Lessons Learned from Implementation of Computerized Provider Order Entry in 5 Community Hospitals. A Qualitative Study. BMC Medical Informatics and Decision Making, 13(67). Retrieved from https://bmcmedinformdecismak.biomedcentral.com/articles/10.1186/1472-6947-13-67
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