ArticleBMC medical informatics and decision making2016
User perspectives on an electronic decision-support tool performing comprehensive medication reviews - a focus group study with physicians and nurses.
Article in BMC medical informatics and decision making, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 4 of them syntheses that pooled it.
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Who cites it
29 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Optimizing Clinical Decision Support System Functionality by Leveraging Specific Human-Computer Interaction Elements: Insights From a Systematic Review.JMIR human factors · 2025Pooled it
- Exploring the role of professional identity in the implementation of clinical decision support systems-a narrative review.Implementation science : IS · 2024Pooled it
- Examining nursing processes in primary care settings using the Chronic Care Model: an umbrella review.BMC primary care · 2023Pooled it
- Barriers and Facilitators to the Use of Clinical Decision Support Systems in Primary Care: A Mixed-Methods Systematic Review.Annals of family medicinePooled it
- Electronic decision support for treatment of hospitalized smokers: A qualitative analysis of physicians' knowledge, attitudes, and practices.Drug and alcohol dependence · 2019Trial
- Development and proof-of-concept of a complex intervention to support appropriate imaging for musculoskeletal pain: the Betti programme.Implementation science communications · 2026Article
- Patient Participation in Monitoring Potential Adverse Drug Events.Applied clinical informatics · 2025Observational
- Simple but complex: aged care healthcare professionals' perspectives on the design of a digital falls dashboard.BMC medical informatics and decision making · 2025Article
- Opportunities for clinical decision support targeting medication safety in remote primary care management of chronic kidney disease: A qualitative study in Northern Australia.Journal of telemedicine and telecare · 2025Article
- Identifying Medication Review Topics to Be Documented in a Structured Form in Electronic Health Record Systems: Delphi Consensus Survey.Journal of medical Internet research · 2025Article
- Facilitator and Barrier to Health Information System Use from Health Professionals Perspective: A Scoping Review.Journal of multidisciplinary healthcare · 2025Review
- Barriers to Adoption of a Child-Abuse Clinical Decision Support System in Emergency Departments.The western journal of emergency medicine · 2024Article
- We Ask and Listen: A Group-Wide Retrospective Survey on Satisfaction with Digital Medication Software.Journal of multidisciplinary healthcare · 2024Article
- The Interplay of Work, Digital Health Usage, and the Perceived Effects of Digitalization on Physicians' Work: Network Analysis Approach.Journal of medical Internet research · 2022Article
- Assessing the Usability of a Clinical Decision Support System: Heuristic Evaluation.JMIR human factors · 2022Article
- Clinical decision support for tobacco screening and counseling parents of pediatric patients: A qualitative analysis of pediatric emergency department and urgent care professionals.Drug and alcohol dependence reports · 2022Article
- A scoping review of knowledge authoring tools used for developing computerized clinical decision support systems.JAMIA open · 2021Article
- General practitioner and nurse practitioner attitudes towards electronic reminders in primary care: a qualitative analysis.BMJ open · 2021Article
- Barriers and Facilitators to Implementation of Medication Decision Support Systems in Electronic Medical Records: Mixed Methods Approach Based on Structural Equation Modeling and Qualitative Analysis.JMIR medical informatics · 2020Article
- Adoption of an Electronic Patient Record Sharing Pilot Project: Cross-Sectional Survey.Journal of medical Internet research · 2020Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlthough a number of studies have evaluated the effectiveness of computerized decision-support systems (CDSS), there is lack of data on user perspectives, barriers, and facilitators to the implementation of CDSSs in real-life surroundings. The aim of this study was to assess individually perceived barriers, facilitators and ideas influencing the CDSS implementation and usability.
methodsIn this qualitative study, five focus groups were carried out with physicians and nurses separately at the Tampere City Health Center, Finland. The participants were end-users of the EBMeDS computerized decision support system. An explorative data content analysis was applied.
resultsThe most important barrier to benefitting from CDSS was the lack of structured and coded diagnosis documentation and outdated medication information in the electronic health records. This led to false alerts and distrust towards the system. Among the major facilitators found were e.g. the beneficial reminders that helped practitioners take into account matters otherwise ignored; automatic glomerular filtration rate (GFR) calculations; medication safety checks; and the summaries in the single medication review at a glance.
conclusionsPhysicians' and nurses' are keen to use the CDSS and it may enhance their inter-professional collaboration. Documenting patient information in a structured, uniform and easy manner is the essential starting point for electronic decision support. When implementing CDSS, managers need to focus on common practices in documenting structured data in their organizations in order to prevent undermining trust in the system.
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