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Table 1 Lessons learned during implementation of a computerized decision support system

From: Barriers to implementation of a computerized decision support system for depression: an observational report on lessons learned in "real world" clinical settings

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.
  1. A summary of lessons learned during initial testing of the Computerized Decision Support System for Depression (CDSS-D) in real world clinical settings