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Table 3 Best practices for CPM development and implementation in primary care

From: Understanding clinical prediction models as ‘innovations’: a mixed methods study in UK family practice

CPM factors
• The CPM should have a relative advantage to current ways of working. This could be achieved in the following ways:
Focusing on areas where there is a perceived lack of clinical knowledge or risk of medical litigation
Linking outputs to clinical actions
Provide ways to enhance, not impede, communication with patients and colleagues
Provide the ability to monitor symptom severity
• CPMs should be as simple and easy to use as possible. This could be achieved by using only routinely measured risk factors and markers to calculate the score, then auto populating the result within existing clinical information systems.
Clinician factors
• Clinicians must be made aware of new CPMs, and if existing ones are updated
• Information or training on how to use the CPM should be provided (consistent with providing personalised care), which should also highlight the advantages of its use.
Contextual factors
• The CPM should be compatible with the pervading culture of the organisation in which it is being implemented.
• CPM use should be recommended in clinical guidelines or local policies.
• Dedicated time and resources should be provided to use CPMs.
• Education and training in the use of CPMs should be available.