Clinical Decision Support for Diabetes in Scotland

Summary

Clinician Decision Support Systems (CDSS) provide HCPs with automated advice about best practice patient care, and have been shown to effectively influence behaviour in terms of adherence to guidelines and avoidance of drug errors. The Evidence Based Medicine electronic Decision Support (EBMeDS) system is a CDSS that was developed in conjunction with health care providers and successfully implemented within SCI-Diabetes, the Scottish national electronic health record for diabetes. EBMeDS has been 'live' to users within NHS Tayside and NHS Lothian since December 2013: evaluation found that use of the EBMeDS system has resulted in a dramatic improvement in adherence to national guidelines, with modest improvements in glycaemic control. Future work will aim to develop and implement additional rule-based algorithms based on user feedback and roll out CDSS to all users of SCI-Diabetes across NHS Scotland.

Challenge

The Scottish Diabetes Action plan emphasises the need for a 'person-centredness' approach to support people with diabetes in managing their own condition. Diabetes care in Scotland relies on a series of managed clinical networks supported by a national informatics platform - SCIDiabetes. Regional and national audits are regularly published using this data on a series of quality performance indicators (QPIs), which allow regional and international comparisons to be drawn. Despite some encouraging trends in adherence to QPIs, there is clearly room for improvement.

Objectives

To implement decision support scripts within the SCI-Diabetes system in NHS Tayside and West Lothian, with a view to informing recommendations for a national decision support system. To demonstrate that there are no unintended adverse effects, and to quantify changes in clinical processes and/or outcomes.

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QiC Diabetes Finalist 2016
Digital and Technology Solutions in the Treatment and Management of Diabetes
Clinical Decision Support for Diabetes in Scotland
by NHS Tayside and University of Dundee

Contacts

Nicholas Conway

Job title:
Consultant paediatrician
Place of work:
Ninewells Hospital, NHS Tayside
Telephone:
01382 660111 ext 40018
Email:
n.z.conway@dundee.ac.uk


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