Barriers and facilitators to the uptake of computerized clinical decision support systems in specialty hospitals: protocol for a qualitative cross-sectional study

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Background

Clinical decision support systems (CDS) have shown to be a tool that can improve the quality of medical services by providing to physicians evidence-based information at the point-of-care. However, we have learned that the mere provision of CDS does no guarantee their uptake.[1]

Introduction

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.

Methods

A qualitative cross-sectional study was developed in three different specialty hospitals. Semi-structured interviews were used following the Grounded Theory framework; participants were recruited until no new information was gained from the interviews.

Results

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.

Conclusion

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

References

  1. 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