What may help or hinder the implementation of computerized decision support systems (CDSSs): a focus group study with physicians.

@article{Varonen2008WhatMH,
  title={What may help or hinder the implementation of computerized decision support systems (CDSSs): a focus group study with physicians.},
  author={H. Varonen and T. Kortteisto and M. Kaila},
  journal={Family practice},
  year={2008},
  volume={25 3},
  pages={
          162-7
        }
}
OBJECTIVES To identify potential barriers and facilitators to implementing computerized decision support systems (CDSSs) in health care as perceived by clinicians. METHODS We carried out a qualitative focus group study with primary and secondary health care settings in six areas of Finland. A total of 39 interviewed physicians, of whom 22 practised in primary care and 17 in secondary care. The main outcome measures physicians' expectations, preconceived barriers and facilitators were… Expand
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References

SHOWING 1-10 OF 28 REFERENCES
Barriers to the adoption of computerised decision support systems in general practice consultations: a qualitative study of GPs' perspectives
TLDR
Designers of decision support systems for use in primary care consultations must account for the practical needs of users when developing computerised support systems. Expand
Understanding technology adoption in clinical care: Clinician adoption behavior of a point-of-care reminder system
TLDR
A group-based, semi-parametric statistical modeling method used to identify distinct groups, with distinct usage trajectories, has considerable promise to provide new insights into system usability and adoption issues that may benefit clinical decision support systems as well as information systems more generally. Expand
Practice based, longitudinal, qualitative interview study of computerised evidence based guidelines in primary care
TLDR
Clinicians found a computerised decision support system for chronic disease in general practice to be difficult to use and unhelpful clinically and did not fit well into a general practice consultation and compared unfavourably with “on-demand” information. Expand
Improving general practice computer systems for patient safety: qualitative study of key stakeholders
TLDR
There are significant opportunities for improving the safety of general practice computer systems, and priorities include improving the knowledge base for clinical decision support, paying greater attention to human ergonomics in system design, improved staff training and the introduction of new regulations mandating system suppliers to satisfy essential safety requirements. Expand
Involving users in the design and usability evaluation of a clinical decision support system
TLDR
Patients and clinicians were enthusiastic about the CDSS and used it confidently after a short learning period, and changes suggested by users were incorporated into the final interface design. Expand
Research Paper: Health Information Technology and Physician-Patient Interactions: Impact of Computers on Communication during Outpatient Primary Care Visits
TLDR
The examination room computers appeared to have positive effects on physician-patient interactions related to medical communication without significant negative effects on other areas such as time available for patient concerns. Expand
Effects of computerized clinical decision support systems on practitioner performance and patient outcomes: a systematic review.
TLDR
Improvement in practitioner performance was associated with CDSSs that automatically prompted users compared with requiring users to activate the system and studies in which the authors were not the developers, as well as other factors. Expand
Effects of computer-based clinical decision support systems on physician performance and patient outcomes: a systematic review.
TLDR
The CDSSs can enhance clinical performance for drug dosing, preventive care, and other aspects of medical care, but not convincingly for diagnosis. Expand
Effects of Computer-Based Clinical Decision Support Systems on Physician Performance and Patient Outcomes
TLDR
The CDSSs can enhance clinical performance for drug dosing, preventive care, and other aspects of medical care, but not convincingly for diagnosis. Expand
Synthesis of Research Paper: Ten Commandments for Effective Clinical Decision Support: Making the Practice of Evidence-based Medicine a Reality
TLDR
Over the last eight years the authors have implemented and studied the impact of decision support across a broad array of domains and have found a number of common elements important to success, which should result in improved quality of care. Expand
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