NR 599 Final Study Guide 2026

WEEK FIVE READING/ KEY POINTS Key points from the lessons and modules ● Clinical Decision Support (CDS) ○ Generate patient specific interventions, assessments and recommendations ○ CDS tools existed prior to development of EHRs ○ The primary goal of implementing a CDS tool is to leverage data and the scientific evidence to help guide appropriate decision making ● CDS improving healthcare ○ Reducing clinical variation and duplicative testing ○ Ensuring patient safety ○ Avoiding complications that may result in readmissions ○ Create alerts about drug-drug interactions ○ Drug allergy contraindications ● CDS challenging healthcare ○ Alarm fatigue ○ Clinical burnout ○ Occur with poorly implemented CDS features ○ Financial burden ● Workflow Design ○ Used to describe the action or execution of a series of tasks in a prescribed sequence ○ Progression of steps (tasks, events, interactions) that constitute a work process ○ In a sequential workflow, each step depends on the occurrence of the previous step; in a parallel workflow, two or more steps can occur concurrently. ○ Nursing informatics is uniquely positioned to engage in the analysis and redesign of processes and tasks surrounding the use of technology. ● Changes in workflow, poor system design and usability issues, lack of understanding about these systems and their capabilities, user errors and system errors, and lack of defined protocols can all lead to process breakdowns and errors. McGonigle Chapter 13 ● EHR and information systems provide POC decision support to prevent medical errors to save lives and money ● Workflow must be considered before implementing technology or it can be more dangerous ○ Computerized provider order entry (CPOE) focuses on considering the workflow ● Barriers to implement technology: cost & length of time to incorporate it, frequent upgrades interrupting the workflow ● American Recovery and Reinvestment Act (ARRA)- used financial incentives to implement Meaningful Use (MU) rules and regulations ○ Stage 1: data capturing and sharing ○ Stage 2: advanced clinical processes ○ Stage 3: improve outcomes ● Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) took over and created a quality payment program (QPP) to replace Medicare reporting programs