When I was a first-year intern I found it really difficult to choose the right diabetes medication for my patient because there are many different diabetes medications, contraindications, and the need to adjust the dosage according to GFR (kidney function value). For this reason, I consulted a nephrologist and created a mini-CDSS program for me and my friends (intern-1 doctors) to use. I coded my own program in Python. Just filling in the GFR and related medical conditions, the program will calculate the appropriate dosage and does not recommend drugs that are contraindicated ( Picture ).
My evaluation for this CDSS is as follows:
-System Use: This program is used by just graduated physicians to reduce mistakes in prescribing diabetes medications. Experts or experienced doctors do not need to use this program.
-User Satisfaction: People who use this program are very satisfied because it is easy to use compared to other dosage calculator programs.
Organization – This program is not run by my hospital. This makes disadvantages of the program not being updated and maintained after I had moved out from this hospital.
Technology – This program works easily and fast. It can be improved or bug fixed by myself. But there is a challenge in data validity as new research comes out every day so the accuracy of the program also changes over time.
Net Benefits – Since there is no concrete evaluation of outcomes, I think patients receive more accurate treatment and increase patient safety.