Using CPOE and CDSS Analysis Essay

Using CPOE and CDSS
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Using a Computerized Provider Order Entry (CPOE) system, design a Clinical Decision Support System (CDSS) that would be embedded in the EHR at your site of practice. Your CDSS must connect with CPOE to include a medication. You must link these two applications within the design.
Clinical issue and medication
High blood pressure (hypertension) is a chronic disease where the blood vessels have persistently high tension, which can damage them. Blood pressure represents the force exerted by blood against the walls of the vessels as it is pumped by the heart. The higher the tension, the more the effort for the heart to pump the blood, it is the most prevalent cardiovascular risk factor that affects the quality of life and increases the risk of suffering a stroke.
The patients with hypertension who take lisinopril use the medication to manage medium to severe hypertension either as a monotherapy or in combination with another class of antihypertensive agents. Lisinopril is ACE inhibitors that work through relaxing blood vessels, which then facilitates blood flow. In patients with hypertension, the usual recommended starting dose is 10 mg to 40 mg daily. However, patients with severe hypertension may experience n drastic fall drop in blood pressure after the initial dose (Olvera Lope et al., 2020). An initial dose 2.5 mg per day is recommended in these patients and treatment should be done under medical supervision. Similarly, when there is renal impairment, the starting dose is lower than 10 mg (Olvera Lope et al., 2020). The maintenance dose is increased to 20 mg as a single daily dose and the dose level can be further increased if there is failure to get the desired therapeutic effect. In a study by Derington et al (2020) the researchers reported that by there were no differences in adverse drug events (ADEs) incidences when taking 20 mg lisinopril once daily and 10 mg twice.
Rationale behind your design development The CDSS design considers that the patient may already be using other current medications and there is a need for proper diagnosis and ensuring there are no drug interactions. Thus, there is the identification of the patients’ current medications, the patient information, including diagnosis and history, the drug information, and guardians. Considering these different types of information then makes it easier to analyze where there is a need for modifying the treatment. Automatic analysis is useful as there reminders, alerts, and recommendations that inform decisions. The CDSS recommendations ought to align with the provider recommendations so that there are no CDSS errors or provider errors.
Accessing the correct information is just one of the priorities and the people who need the CDSS should use it. The support systems present information to people who can take action and make decisions based on the information and recommendation. This includes doctors, nurses, and even the systems who rely on the CDSS in the right context expect accurate information on patient recommendation usinglLisinopril. In any case, the way the data set is presented is important as it affects different aspects of the care process, including...