Development and Utilization of a Clinical Decision Support System Contents for Pressure Ulcer Prevention Care

Objectives: The purpose of this study was to develop the contents of a clinical decision support system and assess the actual degree of utilization in order to promote the performance of pressure ulcer prevention care. Methods: Data were collected from March to April 2020. The development of the clinical decision support system was carried out through the steps of according to the ADDIE (analysis -design-development-implementation and evaluation) model. The system was built using Android, iOS, and Safari 604.1 browsers. This study was assess the utilization of clinical decision support system developed over four weeks to 23 nurses. Collected data were analyzed using SPSS WIN 25.0 program. Results: Algorithm for calculation of risk of oral mucous pressure ulcer was developed in clinical decision support system, and information on determination of skin pressure ulcer and oral mucosa pressure ulcer stage and suitable nursing interventions were constructed. At the skin pressure ulcer stage, the deep tissue injury suspected stage and unclassified stage were used a lot. Information corresponding to the second stage of oral mucosa pressure ulcer and the risk level of 31-60% was used a lot. Conclusions: These results suggest that it has been developed as a clinical decision support system content applicable to practice for nurses at the pressure ulcer prevention care.