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

Key Points

• This research aims to identify barriers and facilitators affecting the implementation of computerized clinical decision support systems (CDSS) for managing patient deterioration.
• Conducted a systematic review of qualitative research studies.
• Analyzed factors influencing the design and utility of CDSS.
• Assessed the context-dependency of barriers and facilitators.
• Identified key design elements critical for uptake, including clinical utility and workflow alignment.
• Noted the greater focus on rule-based CDSS compared to AI-based systems in studies.