ArticleJournal of medical Internet research2025
Barriers and Enablers to Using a Mobile App-Based Clinical Decision Support System in Managing Perioperative Adverse Events Among Anesthesia Providers: Cross-Sectional Survey in China.
Article in Journal of medical Internet research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPerioperative adverse events (PAEs) pose a substantial global health burden, contributing to elevated morbidity, mortality, and health care expenditures. The adoption of clinical decision support systems (CDSS), particularly mobile-based solutions, offers a promising avenue to address these challenges. However, successful implementation hinges on understanding anesthesia providers' knowledge, attitudes, and willingness to embrace such technologies.
objectiveThis study aimed to evaluate the knowledge, attitudes, and willingness of Chinese anesthesia professionals to adopt a mobile CDSS for PAE management, and to identify key factors influencing its implementation.
methodsA nationwide cross-sectional survey was conducted among anesthesia providers in China from September 5 to December 31, 2023. Participants included anesthesiologists and nurse anesthetists, who play pivotal roles in perioperative care. A 51-item questionnaire, structured around the Knowledge-Attitude-Practice (KAP) framework, was distributed via WeChat through professional anesthesia associations. The questionnaire covered four domains: (1) demographic characteristics, (2) knowledge assessment, (3) attitude evaluation, and (4) practice willingness. Multivariable regression analyses identified predictors of KAP outcomes, with sensitivity analyses focusing on nurse anesthetists.
resultsThe study included 2440 anesthesia professionals (2226 anesthesiologists and 214 nurse anesthetists). Overall, 87.3% (2130/2440) expressed willingness to adopt the CDSS, with 87.5% (1947/2226) of anesthesiologists and 85.5% (183/214) of nurse anesthetists showing readiness. However, only 39.2% (956/2440) were satisfied with existing incident management systems. Key findings indicated that higher knowledge scores were associated with female gender (coefficient=0.19, P=.003), advanced education, and lack of previous informatics experience (coefficient=0.29, P<.001). Nurse anesthetists scored lower than anesthesiologists (coefficient=-0.76, P<.001). Negative attitudes were more prevalent among older practitioners (coefficient=-0.13, P<.001), females (coefficient=-0.66, P<.001), nurse anesthetists (coefficient=-1.12, P=.003), and those without prior PAE exposure (coefficient=-0.97, P<.001). Higher willingness was observed among practitioners in Southwest China (coefficient=0.10, P=.048), those with positive attitudes (coefficient=0.06, P<.001), and those dissatisfied (coefficient=0.32, P<.001) or neutral (coefficient=0.11, P=.02) towards existing systems. Infrequent departmental incident discussions would reduce practice willingness (coefficient=-0.08, P=.01).
conclusionsThis national study highlights a strong readiness among Chinese anesthesia professionals to adopt mobile CDSS for PAE management. However, critical barriers, including role-specific knowledge disparities and ineffective organizational communication, must be addressed to ensure successful implementation. Collaborative efforts among local authorities, health care facilities, anesthesia departments, and technology developers are essential to design and implement tailored strategies. Key recommendations include interdisciplinary training programs to enhance nurse anesthetists' competencies, institution-level incentives to promote incident reporting, and user-centered CDSS designs that prioritize seamless integration into clinical workflows. These measures are vital for improving perioperative incident reporting systems and ultimately advancing the safety and outcomes of surgical patients.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.