Factors influencing implementation success of guideline-based clinical decision support systems: A systematic review and gaps analysis

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• 作者：E. Kilsdonk ; ^{e.kilsdonk@amc.uva.nl} ; L.W. Peute ^{l.w.peute@amc.uva.nl} ; M.W.M. Jaspers ^{m.w.jaspers@amc.uva.nl}
• 关键词：CDSS ; clinical decision support system ; HIS ; health information systems ; IS ; information systems ; IT ; information technology ; HOT-fit ; human organization technology fit ; EMR ; electronic medical record ; CPOE ; computerized physician order entry
• 刊名：International Journal of Medical Informatics
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：98
• 期：Complete
• 页码：56-64
• 全文大小：1124 K
• 卷排序：98

文摘

A synopsis of evidence on the impact of factors impeding or facilitating implementations of guideline-based CDSS used by physicians is absent from the scientific literature. This systematic literature review provides an integrated understanding of these factors, based on a socio-technical framework. Research on factors influencing CDSS implementations has mainly focused on human and technology factors and less on organizational factors. Future research within the field of guideline-based CDSS should focus on evaluating implementations through the use of socio-technical models.