Computerized clinical decision support for prescribing: provision does not guarantee uptake.

ABSTRACT: There is wide variability in the use and adoption of recommendations generated by computerized clinical decision support systems (CDSSs) despite the benefits they may bring to clinical practice. We conducted a systematic review to explore the barriers to, and facilitators of, CDSS uptake by physicians to guide prescribing decisions. We identified 58 studies by searching electronic databases (1990-2007). Factors impacting on CDSS use included: the availability of hardware, technical support and training; integration of the system into workflows; and the relevance and timeliness of the clinical messages. Further, systems that were endorsed by colleagues, minimized perceived threats to professional autonomy, and did not compromise doctor-patient interactions were accepted by users. Despite ad

SUBMITTER: Moxey A 

PROVIDER: S-EPMC2995634 | biostudies-literature | 2010 Jan-Feb

REPOSITORIES: biostudies-literature