Table 3 Facilitating factors for implementation of DSS due to HOT-fit domains

Technology: system quality

Access/interoperability

Compatibility with existing systems

[27, 32, 34, 35, 37, 39]

Easy access

[37, 39]

Layout

Easy navigation (e.g. relevant information texts are easy to find)

[33]

Relevant functions are visibly placed

[32, 33]

DSS provides an overview of data and recommendations

[37, 39]

Results are color highlighted, use of tables and graphs

[37, 39]

Usability/functions

Important functions (e.g. calculation of the body mass index) are integrated

[28, 32, 33]

Quick and easy data entry methods

[40]

Alert functions regarding contraindications, allergy

[32, 39]

Flexibility/interactivity

DSS are adjustable to specific conditions and patient cases

[32]

Manual data entry methods for correction and complementation of information (e.g. free text field)

[33, 36, 37]

Technology: information quality

Evidence

Transparent presentation of evidence and comprehensibility of recommendations

[28, 32, 40]

Currency

Recommendations based on current evidence

[40]

Clarity

Clear and precise wording of recommendations

[31, 32]

Organization: structure

Participation

Integration of relevant and potential end user groups in planning, development and implementation phase

[27,28,29, 31, 32, 36, 38, 39]

Technical support

Support from technical experts

[27, 40]

Technical equipment

Sufficient number of computers and workstations

[27, 38]

Multipliers

Integration and support of multipliers and trained persons in implementation phase

[27, 38]

Training courses

Training courses regarding handling and functions of DSS

[27, 31, 36, 38]

Internal communikation/feedback

Regular feedback and communication regarding the advantages of DSS use (e.g. antibiotic use, cost savings)

[31]

Organization: environment

Financing

Long-term cost savings due to DSS use

[40]

User: system use

Attitude/opinion

Positive attitude towards technology

[28, 34, 37, 38]

Positive attitude towards guideline recommendations

[25]

Experience/familiarity

Prior experiences with DSS

[32, 38]

Knowledge/competencies

Sufficient technical competences

[36]

Net benefits

Time

Time saving due to structured presentation of data

[28, 32, 40]

Workflow

Facilitating of workflow and interdisciplinary communication

[32, 35, 37, 39]

Improvement in treatment quality

[38]

Guidance in uncertain situations (e.g. in night shifts or for residents)

[28, 34, 35]

Job autonomy/professional role

Less dependency (e.g. from pharmacists)

[31]

DSS promote learning process (e.g. regarding scientific research of guideline recommendations)

[28]