Barriers and facilitators to the implementation and use of computerized clinical decision support systems for predicting and managing in-patient clinical deterioration: a systematic review of qualitative research

International Journal of Medical Informatics 2026 Open access

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Authors: Melody Saikali, Melissa Therese Baysari, Valentina Lichtner, Sylvia Pelayo A, Jane Ellen Carland, Romaric Marcilly
DOI: 10.1016/j.ijmedinf.2026.106369
Cited by: 0
References: 67

Abstract

• Good design, clinical utility and workflow alignment are key for successful uptake of CDSS for clinical deterioration. • Barriers and facilitators for CDSS implementation and use are context dependent. • Studies of implementation and use focus more on rule-based than AI-based CDSS.

Fields of Study & Subjects

Electronic Health Records Systems Artificial Intelligence in Healthcare and Education Health Policy Implementation Science

Publication details

Journal / source
International Journal of Medical Informatics
Volume
214
Pages
106369–106369
Publication date
10 March 2026
Language
EN