Table 5 Examples of review findings relating to human factors
Author | Professional type | Examples |
|---|---|---|
Individual attitudes and emotional responses | ||
[81] | Physicians | Physicians express sentiment of apathy toward CDSSs and perception of not being able to “change the tide”. |
[154] | Physicians | Physicians express a degree of skepticism toward the use of CDSSs. |
[77] | Junior physicians | If CDSS “is not worked on upstream and if it is not ergonomic, it is a disaster and perceived as a real suffering.” |
Experience and familiarization with the CDSS | ||
[127] | Physicians & nursing professionals | Perceived barriers related to knowledge regarding CDSSs functions: “I had no idea about all these options! Now, I’m a lot more enthusiastic. I’m going to use it right away!”; “I didn’t even know there was a feedback option, never heard of it before.” |
[3] | Physicians | Physicians are unfamiliar with sophisticated CDSSs features, “… such as procedures, reminders, and charting templates, and thus do not fully utilize them.” |
[82] | Junior and senior physicians | Junior physicians use CDSSs more than senior physicians because they are still learning the clinical area. Senior health care professionals are experienced and familiar with common practices that they do not need CDSSs. |
Trust in the CDSS and underlying rule or algorithm | ||
[154] | Physicians | Physicians want to know the functionality of the CDSS’ underlying decision support rule and its limitations, especially in situations of high risk for patient safety: “There’s just a lot of guesswork and I don’t know what happens when someone’s kidneys are suddenly knocked off. I don’t know if it takes that into consideration.” |
[128] | Junior and senior health care professionals | Junior health care professionals trust the CDSS recommendations and use them as a “confidence booster” and to “cross-reference” for their decisions, while senior health care professionals rarely use the CDSS because they believe that the CDSS’ and their own knowledge are identical. |
[132] | Physicians | Physicians are comfortable following CDSS recommendations if the guideline is perceived as coming from a credible source. |
[151] | Nursing professionals | Nursing professionals perceive CDSSs as more trustworthy and precise compared to paper-based assessment. |