Building and maintaining trust in clinical decision support: Recommendations from the Patient-Centered CDS Learning...

Area of Science:

• Health Informatics
• Clinical Decision Support Systems
• Knowledge Management

Background:

• Digital repositories for clinical decision support (CDS) can enhance healthcare practice.
• Stakeholder trust is a significant barrier to adopting CDS knowledge artifacts.
• A framework for evaluating trust in CDS is needed.

Purpose of the Study:

• To investigate trust in knowledge artifacts and repositories for CDS.
• To develop a framework for assessing trust in CDS.

Main Methods:

• The Patient-Centered CDS Learning Network's Trust Framework Working Group (TFWG) conducted the investigation.
• Identified 12 key actors within the CDS ecosystem.
• Developed 33 recommendations across nine trust attributes.

Main Results:

• The TFWG identified critical actors and their roles in the CDS lifecycle.
• Nine trust attributes were defined, encompassing factors like 'Competency' and 'Organizational Capacity'.
• Recommendations provide a structured approach to building trust in CDS artifacts.

Conclusions:

• The TFWG's work provides an initial effort to explicitly embed trust within CDS knowledge artifacts and repositories.
• This framework aims to increase the acceptance and utilization of CDS tools in clinical practice.
• Explicitly addressing trust attributes can foster greater confidence and adoption of CDS.