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Variation in computer literacy may affect adherence.
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Enhanced training on the computer program, so that clinicians achieve necessary competence and have used program on multiple simulated cases.
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Adequate IT requirements to support the program need to be in place.
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Prior to and following implementation, appropriate IT support to maintain server/network is crucial.
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Availability of on-site technical support needed.
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Training of individuals at site who can provide extended support for clinicians and support staff as needed.
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Management and administrative support and involvement essential to assist with impact on workflow.
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Include management and administrative staff in planning to assist with issues such as visit frequency and other potential workflow issues.
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Software may need to be adapted to specific site workflow/administrative issues.
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Prior to implementation, work with site personnel to evaluate specific site requirements and allow customization.
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The need to allow clinicians flexibility and autonomy in the use of the algorithm.
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The algorithm provides clinicians with recommendations that they can choose to over-ride.
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Clinician feedback essential to making the program more usable.
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Prior to implementation, a period of testing allows clinician feedback and any necessary program modification.
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