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Table 3 Success factors

From: A systematic review of the implementation and impact of asthma protocols

Success factors Paper-based Computer-generated Computerized
Accompanied by conventional education 13 5 5
Clear and intuitive user interface with prominent display of advice 3 6 11
System developed through iterative refinement process 4 1 4
Local user involvement in development process 13 3 3
Active involvement of local opinion leaders 1 3 0
Assessments and recommendations are accurate 2 4 5
Saves clinicians time or requires minimal time to use 2 2 1
Provision of decision support results to patients as well as providers 12 3 7
No need for additional clinician data entry 6 2 3
Provision of recommendation, not just an assessment 5 2 4
Accompanied by periodic performance feedback 4 0 2
Integration with charting or order entry system to support workflow integration 31 3 3
Alignment of decision support objectives with organizational priorities and with the beliefs and financial interests of individual clinicians 18 1 3
Promotion of action rather than inaction 12 1 3
Justification of decision support via provision of reasoning 33 0 4
Automatic provision of decision support as part of clinician workflow 0 2 2
Justification of decision support via provision of research evidence 16 1 4
Use of a computer to generate the decision support 38 4 8
Provision of decision support at time and location of decision making 26 0 4
Recommendations executed by noting agreement 28 1 6
Request documentation of the reason for not following recommendations 10 1 1
System is fast 30 1 2