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Table 4 Examples of perceived barriers related to the source and content of the CDSS

From: Implementation of multiple-domain covering computerized decision support systems in primary care: a focus group study on perceived barriers

     -     Lack of trust in reliability of the source of the content

          •     “Well, then it makes me wonder: do they own any stock options? Yeah, I know it sounds a bit silly. But it makes me wonder which pharmaceutical company is backing this?”.

     -     Lack of trust in currentness of content

          •     “How current are the guideline recommendations? Are the alerts really up to date? That’s what you [the researchers] should include in your advice, that the content of NHGDoc should be updated on a daily basis”.

     -     Irrelevant alerts for different user groups

          •     “It shouldn’t be necessary to override so many alerts; only the sections that apply to us [PNs] should be highlighted”.

     -     Irrelevant alerts for individual users, with varying needs across time

          •     “Well, for example, you don’t wanna see the ‘advice to give up smoking alert’ again, when it’s already clear that it aint gonna happen with this patient. You don’t want to receive that alert over and over again”.

  1. PNs practice nurses