Table 1 Lessons learned during implementation of a computerized decision support system
Lesson Learned | Solution Proposed |
|---|---|
Variation in computer literacy may affect adherence. | Enhanced training on the computer program, so that clinicians achieve necessary competence and have used program on multiple simulated cases. |
Adequate IT requirements to support the program need to be in place. | Prior to and following implementation, appropriate IT support to maintain server/network is crucial. |
Availability of on-site technical support needed. | Training of individuals at site who can provide extended support for clinicians and support staff as needed. |
Management and administrative support and involvement essential to assist with impact on workflow. | Include management and administrative staff in planning to assist with issues such as visit frequency and other potential workflow issues. |
Software may need to be adapted to specific site workflow/administrative issues. | Prior to implementation, work with site personnel to evaluate specific site requirements and allow customization. |
The need to allow clinicians flexibility and autonomy in the use of the algorithm. | The algorithm provides clinicians with recommendations that they can choose to over-ride. |
Clinician feedback essential to making the program more usable. | Prior to implementation, a period of testing allows clinician feedback and any necessary program modification. |