Barriers and facilitators to the uptake of computerized clinical decision support systems in specialty hospitals: protocol for a qualitative cross-sectional study
Clinical Decision Support (CDS) have been shown to be a tool that can improve the quality of medical services by providing to physicians evidence-based medicine information at the point-of-care. However, it has also been noted that the mere provision of CDS does no guarantee their uptake.
The majority of studies exploring health professionals' perceptions of CDS tend to focus on technical and usability issues ignoring other potential factors that may also make a difference in the uptake of CDS such as social and cultural variables.
This study utilized a qualitative cross-sectional design that looked at three different specialty hospitals. Semi-structured interviews were used following the Grounded Theory framework, and participants were recruited until no new information was gained from the interviews.
Users of CDS systems should be provided with adequate and sufficient training in order to fully utilize CDS systems. Having well established EHRs as well as clinical workflows are important factors for a successful introduction of CDS.
Evaluating different health professionals from multiple hospital settings in different stages of CDS adoption will better capture the complexity of roles as well as social and cultural factors affecting CDS implementation.
- Barriers and facilitators to the uptake of computerized clinical decision support systems in specialty hospitals: protocol for a qualitative cross-sectional study http://ca3cx5qj7w.search.serialssolutions.com/OpenURL_local?sid=Entrez:PubMed&id=pmid:25163794