title: Factors known to influence acceptance of clinical decision support systems.
abstract: Clinical Decision Support Systems (CDSS) have been shown to improve clinical performance and patient outcomes, but the failure rate of such systems is still over 50 percent. To contribute to a wider understanding of issues surrounding CDDS acceptance, we performed a systematic review of studies that evaluated CDSS implementations in clinical care to determine the factors that are associated with acceptance of CDSS by physicians. The factors that were found were categorized according to the HOT-fit framework. The mapping of factors concerning CDSS acceptance on the HOT-fit framework revealed gaps in each domain of the framework and showed that research has mainly focused on human and technology factors and a lack of research on organizational factors. A potential area of research could thus be studying the organizational factors that may influence CDSS acceptance.
authors: Department of Medical Informatics, Academic Medical Center - University of Amsterdam, The Netherlands.
authors: E
authors: E
authors: Kilsdonk
authors: L W P
authors: LW
authors: Peute
authors: S L
authors: SL
authors: Knijnenburg
authors: M W M
authors: MW
authors: Jaspers
mesh_terms: D001294:Attitude to Health; D003657:Decision Making; D020000:Decision Support Systems, Clinical; D004059:Diffusion of Innovation; D006761:Hospitals; D006801:Humans; D008490:Medical Informatics; D017146:Models, Organizational; D010043:Outcome and Process Assessment, Health Care; D010820:Physicians; D015397:Program Evaluation; D011785:Quality Assurance, Health Care