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

Melody Saikali; Melissa Baysari; Valentina Lichtner; Sylvia Pelayo; Jane E. Carland; Romaric Marcilly

doi:10.1016/j.ijmedinf.2026.106369

March 1, 2026International Journal of Medical InformaticsOpen Access

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

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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.

Implication

Systematic review reveals barriers and facilitators in implementing decision support systems, highlighting important design factors.

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.

Discussion

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Cite This Study

Saikali et al. (2026) studied this question.

synapsesocial.com/papers/69b3acf302a1e69014ccf1f0 https://doi.org/10.1016/j.ijmedinf.2026.106369

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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

Implication

Abstract

Discussion

Cite This Study

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

Implication

Abstract

Discussion

Cite This Study

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