A systematic review of clinicians’ acceptance and use of clinical decision support systems over time
Abstract Existing reviews have identified factors influencing Clinical Decision Support (CDS) adoption by clinicians in practice but overlook the dynamic and evolving nature of technology and users’ needs over time. This review aimed to identify factors that influence early, mid-term, and sustained...
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2025-05-01
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| Series: | npj Digital Medicine |
| Online Access: | https://doi.org/10.1038/s41746-025-01662-7 |
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| author | Nicki Newton Adeola Bamgboje-Ayodele Rowena Forsyth Amina Tariq Melissa T. Baysari |
| author_facet | Nicki Newton Adeola Bamgboje-Ayodele Rowena Forsyth Amina Tariq Melissa T. Baysari |
| author_sort | Nicki Newton |
| collection | DOAJ |
| description | Abstract Existing reviews have identified factors influencing Clinical Decision Support (CDS) adoption by clinicians in practice but overlook the dynamic and evolving nature of technology and users’ needs over time. This review aimed to identify factors that influence early, mid-term, and sustained acceptance and use of CDS in hospital settings. Five databases were searched from 2007 to January 2024 and 67 papers were included. Factors were extracted and synthesised according to the time that data were collected following CDS implementation. Factors relating to the CDS intervention (e.g. utility) and inner setting (e.g. fit with workflows) were reported across all time periods. Perceived outcomes were more often identified in the first year of use, and individual factors after the first 6 months of use. Strategies to work around CDS limitations were reported 5 years after implementation. Our review provides guidance for developing, implementing, and supporting ongoing use of CDS systems. |
| format | Article |
| id | doaj-art-3cd9c06a39a64b4aaf13750e97cfd459 |
| institution | DOAJ |
| issn | 2398-6352 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | npj Digital Medicine |
| spelling | doaj-art-3cd9c06a39a64b4aaf13750e97cfd4592025-08-20T03:22:11ZengNature Portfolionpj Digital Medicine2398-63522025-05-018111710.1038/s41746-025-01662-7A systematic review of clinicians’ acceptance and use of clinical decision support systems over timeNicki Newton0Adeola Bamgboje-Ayodele1Rowena Forsyth2Amina Tariq3Melissa T. Baysari4Digital Health Human Factors Research Group, Sydney Nursing School, Faculty of Medicine and Health, The University of SydneyDigital Health Human Factors Research Group, Sydney Nursing School, Faculty of Medicine and Health, The University of SydneyBiomedical Informatics and Digital Health, School of Medical Sciences, Faculty of Medicine and Health, The University of SydneyAustralian Centre for Health Services Innovation and Centre for Healthcare Transformation, School of Public Health and Social Work, Faculty of Health, Queensland University of TechnologyDigital Health Human Factors Research Group, Sydney Nursing School, Faculty of Medicine and Health, The University of SydneyAbstract Existing reviews have identified factors influencing Clinical Decision Support (CDS) adoption by clinicians in practice but overlook the dynamic and evolving nature of technology and users’ needs over time. This review aimed to identify factors that influence early, mid-term, and sustained acceptance and use of CDS in hospital settings. Five databases were searched from 2007 to January 2024 and 67 papers were included. Factors were extracted and synthesised according to the time that data were collected following CDS implementation. Factors relating to the CDS intervention (e.g. utility) and inner setting (e.g. fit with workflows) were reported across all time periods. Perceived outcomes were more often identified in the first year of use, and individual factors after the first 6 months of use. Strategies to work around CDS limitations were reported 5 years after implementation. Our review provides guidance for developing, implementing, and supporting ongoing use of CDS systems.https://doi.org/10.1038/s41746-025-01662-7 |
| spellingShingle | Nicki Newton Adeola Bamgboje-Ayodele Rowena Forsyth Amina Tariq Melissa T. Baysari A systematic review of clinicians’ acceptance and use of clinical decision support systems over time npj Digital Medicine |
| title | A systematic review of clinicians’ acceptance and use of clinical decision support systems over time |
| title_full | A systematic review of clinicians’ acceptance and use of clinical decision support systems over time |
| title_fullStr | A systematic review of clinicians’ acceptance and use of clinical decision support systems over time |
| title_full_unstemmed | A systematic review of clinicians’ acceptance and use of clinical decision support systems over time |
| title_short | A systematic review of clinicians’ acceptance and use of clinical decision support systems over time |
| title_sort | systematic review of clinicians acceptance and use of clinical decision support systems over time |
| url | https://doi.org/10.1038/s41746-025-01662-7 |
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