NURS 6051 LITERATURE REVIEW: THE USE OF CLINICAL SYSTEMS TO IMPROVE OUTCOMES AND EFFICIENCIES

Introduction

This paper presents an annotated bibliography summarizing recent research on the application of clinical systems and their impact on healthcare outcomes and efficiencies. The purpose is to explore how various clinical systems have been used to improve patient outcomes and streamline healthcare delivery.

Annotated Bibliography

Research Article 1

Lu Wenjie, Zhang Jiaming, & Jiang Weiyu. (2023). The difference and clinical application of modified thoracolumbar fracture classification scoring system in guiding clinical treatment. Journal of Orthopaedic Surgery and Research, 18(1), 1–8. https://doi.org/10.1186/s13018-023-03958-4

In this article, Wenjie et al. discusses the clinical application of a modified thoracolumbar injury classification and severity score system (modified TLICS system) in guiding clinical treatment for patients with thoracolumbar fractures. The system was developed as an improvement to the existing TLICS system to address its limitations and enhance its effectiveness.

The study found that the use of the modified TLICS system significantly improved patient outcomes. Over an average follow-up duration of 19.2 months, patients demonstrated significant improvement in various outcome measures, including visual analog scale (VAS) score, modified Japanese Orthopaedic Association (JOA) score, anterior vertebral height ratio, sagittal index, and Cobb angle. Additionally, neurological status also showed varying degrees of improvement. The systematic application of the modified TLICS system allowed clinicians to identify the severity of thoracolumbar fractures accurately and tailor treatment plans, leading to improved patient recovery and functional outcomes.

By implementing the modified TLICS system, the research showed that clinicians achieved more streamlined and efficient decision-making in clinical treatment. The modified TLICS system facilitated a comprehensive evaluation of various injury parameters, aiding in the accurate classification of thoracolumbar fractures. The system’s modifications addressed the limitations of the original TLICS system, enabling healthcare providers to make more informed decisions regarding the need for surgery and the appropriate treatment approach. As a result, the operation rate for the modified TLICS system was slightly lower than that of the traditional TLICS system. This suggests that the modified system contributed to the more efficient allocation of surgical resources while still achieving favorable patient outcomes.

The study provides valuable insights into the application of clinical systems in orthopedic settings. The development and implementation of the modified TLICS system offer a valuable lesson on how continuous improvement and refinement of existing clinical systems can enhance their practicality and effectiveness. By addressing the limitations of the original TLICS system, the modified version demonstrated its potential as a reliable tool for thoracolumbar fracture classification and assessment. The study emphasizes the importance of iterative research and continuous feedback from clinicians to optimize clinical systems for better patient care and healthcare efficiency.

Research Article 2

Parva Paydar, Shole Ebrahimpour, Hanieh Zehtab Hashemi, Mehdi Mohamadi, & Soha Namazi. (2023). Design, Development, and Evaluation of an Application based on Clinical Decision Support Systems (CDSS) for Over-The-Counter (OTC) Therapy: An Educational Interventions in Community Pharmacists. Journal of Advances in Medical Education and Professionalism, 11(2), 95–104. https://doi.org/10.30476/jamp.2022.95843.1661

Paydar et al, shows the implementation of a Clinical Decision Support System (CDSS) in the form of an over-the-counter (OTC) therapy application for community pharmacists resulted in several improvements in outcomes. Firstly, the application significantly enhanced the knowledge and pharmaceutical skills of pharmacists in managing OTC therapy. By providing decision support and relevant information, pharmacists were better equipped to take comprehensive patient histories, make appropriate pharmacological and non-pharmacological recommendations, and identify when to refer patients to physicians. This ultimately led to more effective patient counseling and improved patient outcomes. Moreover, the application also contributed to a reduction in unnecessary referrals to physicians. Before using the CDSS-based application, a considerable percentage of patients were wrongly referred to physicians.

While the application increased the time taken to manage scenarios, it had