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 |