TY - JOUR
T1 - Barriers and facilitators to the uptake of
computerized clinical decision support systems in specialty hospitals: protocol for a qualitative
cross-sectional study
AU - Moja, Lorenzo
AU - Liberati, Elisa G.
AU - Liberati, Elisa Giulia
AU - Galuppo, Laura
AU - Gorli, Mara
AU - Maraldi, Marco
AU - Nanni, Oriana
AU - Rigon, Giulio
AU - Ruggieri, Pietro
AU - Ruggiero, Francesca
AU - Scaratti, Giuseppe
AU - Vaona, Alberto
AU - Kwag, Koren H.
PY - 2014
Y1 - 2014
N2 - Background: Computerized clinical decision support systems (CDSSs) have been shown to improve the efficiency and quality of patient care by connecting healthcare professionals with high quality, evidence-based information at the point-of-care. The mere provision of CDSSs, however, does not guarantee their uptake. Rather, individual and institutional perceptions can foster or inhibit the integration of CDSSs into routine clinical workflow. Current studies exploring health professionals’ perceptions of CDSSs focus primarily on technical and usability issues, overlooking the social or cultural variables as well as broader administrative or organizational roles that may influence CDSS adoption. Moreover, there is a lack of data on the evolution of perceived barriers or facilitators to CDSS uptake across different stages of implementation. Methods: We will conduct a qualitative, cross-sectional study in three Italian specialty hospitals involving frontline physicians, nurses, information technology staff, and members of the hospital board of directors. We will use semi-structured interviews following the Grounded Theory framework, progressively recruiting participants until no new information is gained from the interviews. Discussion: CDSSs are likely to become an integral and diffuse part of clinical practice. Various factors must be considered when planning their introduction in healthcare settings. The findings of this study will guide the development of strategies to facilitate the successful integration of CDSSs into the regular clinical workflow. The evaluation of diverse health professionals across multiple hospital settings in different stages of CDSS uptake will better capture the complexity of roles and contextual factors affecting CDSS uptake.
AB - Background: Computerized clinical decision support systems (CDSSs) have been shown to improve the efficiency and quality of patient care by connecting healthcare professionals with high quality, evidence-based information at the point-of-care. The mere provision of CDSSs, however, does not guarantee their uptake. Rather, individual and institutional perceptions can foster or inhibit the integration of CDSSs into routine clinical workflow. Current studies exploring health professionals’ perceptions of CDSSs focus primarily on technical and usability issues, overlooking the social or cultural variables as well as broader administrative or organizational roles that may influence CDSS adoption. Moreover, there is a lack of data on the evolution of perceived barriers or facilitators to CDSS uptake across different stages of implementation. Methods: We will conduct a qualitative, cross-sectional study in three Italian specialty hospitals involving frontline physicians, nurses, information technology staff, and members of the hospital board of directors. We will use semi-structured interviews following the Grounded Theory framework, progressively recruiting participants until no new information is gained from the interviews. Discussion: CDSSs are likely to become an integral and diffuse part of clinical practice. Various factors must be considered when planning their introduction in healthcare settings. The findings of this study will guide the development of strategies to facilitate the successful integration of CDSSs into the regular clinical workflow. The evaluation of diverse health professionals across multiple hospital settings in different stages of CDSS uptake will better capture the complexity of roles and contextual factors affecting CDSS uptake.
KW - Computerized clinical decision support systems
KW - Evidence-based medicine
KW - Perceptions
KW - Qualitative
KW - Computerized clinical decision support systems
KW - Evidence-based medicine
KW - Perceptions
KW - Qualitative
UR - http://hdl.handle.net/10807/60263
U2 - 10.1186/s13012-014-0105-0
DO - 10.1186/s13012-014-0105-0
M3 - Article
SN - 1748-5908
VL - 9
SP - 105
EP - 110
JO - Implementation Science
JF - Implementation Science
ER -