{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,30]],"date-time":"2025-09-30T04:38:15Z","timestamp":1759207095782},"reference-count":17,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Appl Clin Inform"],"published-print":{"date-parts":[[2016,4]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>To understand requests for nursing Clinical Decision Support (CDS) interventions at a large integrated health system undergoing vendor-based EHR implementation. In addition, to establish a process to guide both short-term implementation and long-term strategic goals to meet nursing CDS needs.<\/jats:p><jats:p>We conducted an environmental scan to understand current state of nursing CDS over three months. The environmental scan consisted of a literature review and an analysis of CDS requests received from across our health system. We identified existing high priority CDS and paper-based tools used in nursing practice at our health system that guide decision-making.<\/jats:p><jats:p>A total of 46 nursing CDS requests were received. Fifty-six percent (n=26) were specific to a clinical specialty; 22 percent (n=10) were focused on facilitating clinical consults in the inpatient setting. \u201cRisk Assessments\/Risk Reduction\/Promotion of Healthy Habits\u201d (n=23) was the most requested High Priority Category received for nursing CDS. A continuum of types of nursing CDS needs emerged using the Data-Information-Knowledge-Wisdom Conceptual Framework: 1) facilitating data capture, 2) meeting information needs, 3) guiding knowledge-based decision making, and 4) exposing analytics for wisdom-based clinical interpretation by the nurse.<\/jats:p><jats:p>Identifying and prioritizing paper-based tools that can be modified into electronic CDS is a challenge. CDS strategy is an evolving process that relies on close collaboration and engagement with clinical sites for short-term implementation and should be incorporated into a long-term strategic plan that can be optimized and achieved overtime. The Data-Information-Knowledge-Wisdom Conceptual Framework in conjunction with the High Priority Categories established may be a useful tool to guide a strategic approach for meeting short-term nursing CDS needs and aligning with the organizational strategic plan.<\/jats:p>","DOI":"10.4338\/aci-2015-10-ra-0128","type":"journal-article","created":{"date-parts":[[2016,4,20]],"date-time":"2016-04-20T07:04:53Z","timestamp":1461135893000},"page":"227-237","source":"Crossref","is-referenced-by-count":10,"title":["Analysis of Nursing Clinical Decision Support Requests and Strategic Plan in a Large Academic Health System"],"prefix":"10.4338","volume":"07","author":[{"given":"Karen","family":"Bavuso","sequence":"first","affiliation":[]},{"given":"Sharon","family":"Bouyer-Ferullo","sequence":"first","affiliation":[]},{"given":"Denise","family":"Goldsmith","sequence":"first","affiliation":[]},{"given":"Amanda","family":"Fairbanks","sequence":"first","affiliation":[]},{"given":"Emily","family":"Gesner","sequence":"first","affiliation":[]},{"given":"Charles","family":"Lagor","sequence":"first","affiliation":[]},{"given":"Sarah","family":"Collins","sequence":"first","affiliation":[]},{"given":"Kimberly","family":"Whalen","sequence":"additional","affiliation":[]}],"member":"194","published-online":{"date-parts":[[2017,12,16]]},"reference":[{"key":"10.4338\/ACI-2015-10-RA-0128-1","doi-asserted-by":"publisher","DOI":"10.1197\/jamia.M2334"},{"key":"10.4338\/ACI-2015-10-RA-0128-2","unstructured":"Centers for Mediacare & Medicaid Services (CMS).US Deparment of Health and Human Services. EHR Incentive Programs, Clinical Decision Support. http:\/\/www.cms.gov\/Regulations-and Guidance\/Legislation\/EHRIncentivePrograms\/Downloads\/ClinicalDecisionSupport_Tipsheet-.pdf. Accessed May, 9 2015"},{"key":"10.4338\/ACI-2015-10-RA-0128-3","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6947-9-17"},{"key":"10.4338\/ACI-2015-10-RA-0128-4","doi-asserted-by":"crossref","unstructured":"Hongsermeier T, Kashyap V, Sordo M. In: Clinical Decision Support: the Road Ahead. Greenes RA, editor. Boston: Elsevier Academic Press; 2007. Knowledge management infrastructure: evaluation at Partners HealthCare System; pp. 447-467","DOI":"10.1016\/B978-012369377-8\/50022-2"},{"key":"10.4338\/ACI-2015-10-RA-0128-5","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijmedinf.2007.08.006"},{"key":"10.4338\/ACI-2015-10-RA-0128-6","doi-asserted-by":"publisher","DOI":"10.1136\/jamia.2001.0080527"},{"key":"10.4338\/ACI-2015-10-RA-0128-7","doi-asserted-by":"publisher","DOI":"10.1097\/01.NCN.0000304783.72811.8e"},{"key":"10.4338\/ACI-2015-10-RA-0128-8","doi-asserted-by":"publisher","DOI":"10.1097\/ANS.0b013e3182071813"},{"key":"10.4338\/ACI-2015-10-RA-0128-9","first-page":"177","volume":"1","author":"Nursing","year":"2008","journal-title":"Silver Spring, MD: American Nurses Association (ANA)"},{"key":"10.4338\/ACI-2015-10-RA-0128-10","unstructured":"Lagor C. The Clinical Decision Support Life-Cycle. Retrieved from http:\/\/s3.amazonaws.com\/rdcms-himss\/files\/production\/public\/2015Conference\/handouts\/96_1428607926574_4.pdf"},{"key":"10.4338\/ACI-2015-10-RA-0128-11","unstructured":"Centers for Mediacare & Medicaid Services (CMS). US Deparment of Health and Human Services. http:\/\/www.cms.gov\/Regulations-and-Guidance\/Legislation\/EHRIncentivePrograms\/downloads\/Stage2_EPCore_6_ClinicalDecisionSupport.pdf Accessed May, 9 2015"},{"key":"10.4338\/ACI-2015-10-RA-0128-12","unstructured":"Maviglia S, Sordo M. Practical approaches to knowledge management: Focus on clinical decision support. MEDINFO 2015. Proceedings of the 15th World Congress on Health (Medical) Informatics; 2015 Aug 19-23, Sao Paulo, Brazil. http:\/\/medinfo2015.com\/wpcontent\/uploads\/2015\/06\/Practical-Approaches-to-Knowledge-Management-Focus-on-Clinical-Decision-Support.pdf"},{"key":"10.4338\/ACI-2015-10-RA-0128-13","unstructured":"Xiang S, Bouyer-Ferullo S, Lagor C, Maviglia S, Yoshida E. The evolution of a clinical decision support request form. 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