Table 3 Simple and complex forms of CDS
From: Beyond the threshold: real-time use of evidence in practice
CDS complexity | Example | Data needs | Risk from interventions | Patient preference | Clinical decision-makers |
|---|---|---|---|---|---|
Simple | Routine HbA1c Testing for diabetes | Lab results | Very Low | NA | Automate |
Moderate | Hypertension management | BP, patient preferences, engagement, adherence | Low | Prioritizing options | Nurse |
Complex | Depression management | Symptoms, chronicity, work role, | Low | Preferences for side effects, use of meds | Physicians Assistant |
Very Complex | Chronic low back pain & depression | Signs & symptoms, psychosocial factors, | Moderate to high | Preferences for side effects, use of meds | Physician |
Very Complex | Prostate cancer management | Pathology, labs, signs & symptoms, patient preferences | High | Prioritizing needs, risk avoidance | Physician |
Very Complex | Ventilator management | ABGs, respiratory therapy, radiology, cardiovascular monitoring | High | NA | Physician decides on protocol, but RT or RN initiates therapeutic changes |