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How Should Risks Posed by Decision Support Be Managed?

Daniel Nystrom1

  • 1Clinical risk manager at Intermountain Healthcare's Primary Children's Hospital in Salt Lake City, Utah.

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Summary

Managing clinical decision support tools presents ethical challenges. Risk managers should assess tool type, workflow integration, and value alignment with patients and caregivers to mitigate risks effectively.

Area of Science:

  • Healthcare Management
  • Medical Informatics
  • Bioethics

Background:

  • Clinical decision support (CDS) tools are increasingly integrated into healthcare.
  • The use of CDS tools introduces complex ethical considerations, particularly in risk management.
  • Assessing and mitigating risks associated with CDS implementation is crucial for patient safety and effective care.

Purpose of the Study:

  • To identify and elaborate on the ethical complexities of managing risk in cases involving clinical decision support tools.
  • To provide risk managers with a framework for assessing risks related to CDS.
  • To offer actionable considerations for evaluating the safe and ethical use of CDS.

Main Methods:

  • This article presents a conceptual analysis of risk management challenges in the context of CDS.

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  • It outlines three key considerations for risk assessment.
  • The approach involves examining the nature of decision support, its functional utility, and its ethical alignment.

    • Main Results:

    • Risk assessment for CDS tools requires evaluating the specific type of decision support provided.
    • The effectiveness of a CDS tool in supporting clinical workflows and tasks is a critical factor.
    • Alignment between the values embedded in CDS tools and the values of patients and caregivers is essential for ethical risk management.

    Conclusions:

    • Effective risk management for CDS necessitates a multi-faceted approach.
    • Consideration of CDS type, workflow integration, and value congruence is vital for ethical deployment.
    • These factors aid in navigating the complexities of CDS use and ensuring patient-centered care.