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Nursing Clinical Information System

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Related Experiment Video

Updated: Jun 17, 2026

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
06:28

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

Published on: August 1, 2019

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

Annette Moxey1, Jane Robertson, David Newby

  • 1Discipline of Clinical Pharmacology, School of Medicine and Public Health, The University of Newcastle, Australia.

Journal of the American Medical Informatics Association : JAMIA
|January 13, 2010
PubMed
Summary

Computerized clinical decision support systems (CDSSs) show variable adoption. Addressing factors like workflow integration and user trust is key to improving physician use and patient outcomes.

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Last Updated: Jun 17, 2026

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Area of Science:

  • Health Informatics
  • Medical Informatics
  • Clinical Decision Support

Background:

  • Computerized clinical decision support systems (CDSSs) offer potential benefits but face variable adoption in clinical practice.
  • Understanding barriers and facilitators is crucial for effective CDSS implementation.

Purpose of the Study:

  • To systematically review factors influencing the uptake of CDSS recommendations by physicians for prescribing decisions.

Main Methods:

  • A systematic review of 58 studies published between 1990 and 2007 was conducted.
  • Electronic databases were searched to identify relevant literature on CDSS adoption.

Main Results:

  • Key factors impacting CDSS use include hardware availability, technical support, training, workflow integration, and message relevance/timeliness.
  • Physician acceptance is facilitated by peer endorsement, minimal perceived threat to autonomy, and preserved doctor-patient interactions.
  • These factors remain consistent across different settings and over time.

Conclusions:

  • Addressing identified barriers and facilitators is essential for successful CDSS deployment.
  • Improving CDSS uptake can lead to enhanced clinical practice and better patient outcomes.