Tailoring implementation strategies for evidence-based recommendations using computerised clinical decision support...

Area of Science:

• Health Informatics
• Clinical Decision Support
• Implementation Science

Background:

• Computerised clinical decision support systems (CCDSS) are increasingly used for quality improvement in healthcare.
• Despite significant investment, CCDSS implementation often falls short of delivering value due to various issues.
• The Guideline Implementation with Decision Support (GUIDES) project addresses these challenges by focusing on optimized implementation strategies.

Purpose of the Study:

• To develop tools for identifying determinants of CCDSS implementation.
• To create a framework for selecting strategies to implement evidence-based recommendations via CCDSS.
• To enhance the impact and value of CCDSS investments.

Main Methods:

• The GUIDES project builds upon the Tailored Implementation for Chronic Diseases (TICD) project.
• Methods include a systematic review of implementation determinants, framework synthesis, tool development, and pilot testing.
• Pilot testing involves developing a tailored CCDSS intervention for knee osteoarthritis management in three European countries.

Main Results:

• The project will yield practical tools and guidance for CCDSS implementation.
• A comprehensive framework for identifying and addressing implementation determinants will be established.
• Pilot testing will evaluate the utility of the developed tools.

Conclusions:

• The GUIDES project will provide internationally applicable, scalable tools for CCDSS implementation.
• These tools will support developers, implementers, researchers, and policymakers in optimizing CCDSS.
• Successful implementation of CCDSS through GUIDES is expected to improve clinical decision-making, patient care, and outcomes across various conditions.