Development and implementation of computerized clinical guidelines: barriers and solutions.

摘要: Research indicates that computerized decision support systems (CDSSs) can improve clinical performance and patient outcomes, yet CDSSs are not in widespread use. Physician guidelines, general, face barriers implementation. Guidelines a format overcome some of the to conventional text-form guidelines; however, programs have novel aspects be considered, such as technical problems/support user interface issues act barriers. Though literature points out human, organizational, implementation CDSSs, studies clearly indicate there methods over-come these CDSS acceptance These come from lessons learned variety ventures. Notably, most use require feedback involvement end-users. Measuring addressing physician or attitudes toward system has been shown important successful CDSS. This article dis-cusses: 1) guide-lines general CDSSs; 2) importance physician’s role development, implementation, adherence; 3) use; 4) types tools needed obtain end-user feedback.