Table 1 Four illustrative CDS targets: clinical performance gaps and CDS opportunities
Clinical Performance Gap | CDS opportunity targeting the gap |
|---|---|
Many patients receiving chemotherapy are at risk of experiencing adverse events due to errors in chemotherapy ordering. [Oncology] | Alert at the time of ordering or infusion if chemotherapy orders differ from accepted standards |
Patients undergoing total hip or total knee replacement surgery may not receive VTE prophylaxis when it is indicated. [Orthopedic surgery] | Order set for VTE prophylaxis that recommends treatment customized to patient’s bleeding risk and that conforms to guidelines |
Nearly half of patients with STEMI receive no reperfusion therapy or receive delayed reperfusion (>12 hours after onset). [Interventional cardiology] | Alert to inform ED physician and staff of possible ACS diagnosis triggered by abnormal biomarkers |
Children with asthma are not routinely monitored for control of their condition. [Pediatrics] | Pathway to guide dose escalation or medication substitution |