title: Electronic clinical decision support systems attitudes and barriers to use in the oncology setting.
abstract: BACKGROUND
  There is little evidence regarding attitudes to clinical decision support systems (CDSS) in oncology.
  
  
  OBJECTIVE
  We examined the current usage, awareness, and concerns of Irish medical oncologists and oncology pharmacists in this area.
  
  
  METHODS
  A questionnaire was sent to 27 medical oncologists and 34 oncology pharmacists, identified through professional interest groups. Respondents ranked concerns regarding their use of a CDSS on a scale from 1 to 4, with 4 being most important.
  
  
  RESULTS
  Overall, 67% (41/61) responded, 48% (13/27) of oncologists and 82% (28/34) of pharmacists surveyed. Concerns included "difficulty defining complex clinical situations with a set of rules" (mean ± SD) (3.2 ± 0.9), "ensuring evidence base is up to date and relevant" (3.2 ± 0.9) and "lack of clinically relevant suggestions" (2.9 ± 0.9). Ninety-three percent reported using a CDSS but 54% were unaware of this.
  
  
  CONCLUSIONS
  While there are benefits to using a CDSS, concerns must be addressed through user education. This may be a starting point for a user-centred design approach to the development of future local systems through a consultative process.
authors.affiliation: Department of Cancer Medicine, Peter MacCallum Cancer Institute, Locked Bag No. 1, A'Beckett St., Melbourne, VIC 8006, Australia. ian.collins@petermac.org
authors.forename: I M
authors.initials: IM
authors.lastname: Collins
authors.forename: O
authors.initials: O
authors.lastname: Breathnach
authors.forename: P
authors.initials: P
authors.lastname: Felle
mesh_terms: D001291:Attitude of Health Personnel; D002983:Clinical Competence; D020000:Decision Support Systems, Clinical / Q000706:statistics & numerical data*; D006801:Humans; D007494:Ireland; D008495:Medical Oncology; D010595:Pharmacists / Q000523:psychology*; D011795:Surveys and Questionnaires