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Irish Journal of Medical Science

, Volume 181, Issue 4, pp 521–525 | Cite as

Electronic clinical decision support systems attitudes and barriers to use in the oncology setting

  • I. M. Collins
  • O. Breathnach
  • P. Felle
Original Article

Abstract

Background

There is little evidence regarding attitudes to clinical decision support systems (CDSS) in oncology.

Aims

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.

Conclusion

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.

Keywords

Information technology Clinical decision support systems Oncology Healthcare Informatics 

Notes

Conflict of interest

None.

References

  1. 1.
    Coiera E (2003) Guide to health informatics/enrico coiera. Arnold, London (distributed in the USA by Oxford University Press)Google Scholar
  2. 2.
    Foubert J, Aapro M, Soubeyran P et al (2007) Respond—raising awareness of anemia in oncology centers through computer algorithm driven guidelines: assessment of intraclass correlation metrics for the accuracy of algorithmic definitions. ASCO Meeting Abstracts 25 (18 suppl):19633Google Scholar
  3. 3.
    Bertsche T, Askoxylakis V, Habl G et al (2009) Multidisciplinary pain management based on a computerized clinical decision support system in cancer pain patients. Pain 147(1–3):20–28PubMedCrossRefGoogle Scholar
  4. 4.
    Khajouei R, Jaspers MW (2008) Cpoe system design aspects and their qualitative effect on usability. Stud Health Technol Inform 136:309–314PubMedGoogle Scholar
  5. 5.
    Sittig DF, Krall MA, Dykstra RH, Russell A, Chin HL (2006) A survey of factors affecting clinician acceptance of clinical decision support. BMC Med Inform Decis Mak 6:6PubMedCrossRefGoogle Scholar
  6. 6.
    Anton BB, Schafer JJ, Micenko A et al (2009) Clinical decision support. How cds tools impact patient care outcomes. J Healthc Inf Manag 23(1):39–45PubMedGoogle Scholar
  7. 7.
    Georgiou A, Ampt A, Creswick N, Westbrook JI, Braithwaite J (2009) Computerized provider order entry—what are health professionals concerned about? A qualitative study in an Australian hospital. Int J Med Inform 78(1):60–70PubMedCrossRefGoogle Scholar
  8. 8.
    Romano MJ, Stafford RS (2011) Electronic health records and clinical decision support systems: Impact on national ambulatory care quality. Arch Intern Med 171(10):897–903PubMedCrossRefGoogle Scholar
  9. 9.
    Ash JS, Sittig DF, Campbell E, Guappone K, Dykstra RH (2006) An unintended consequence of CPOE implementation: shifts in power, control, and autonomy. AMIA Annu Symp Proc 11–15Google Scholar
  10. 10.
    Yu P, Gandhidasan S, Miller AA (2010) Different usage of the same oncology information system in two hospitals in Sydney—lessons go beyond the initial introduction. Int J Med Inform 79(6):422–429PubMedCrossRefGoogle Scholar

Copyright information

© Royal Academy of Medicine in Ireland 2012

Authors and Affiliations

  1. 1.Department of Cancer MedicinePeter MacCallum Cancer InstituteMelbourneAustralia
  2. 2.Department of Medical OncologyBeaumont HospitalDublinIreland
  3. 3.School of Medicine and Medical ScienceUniversity College DublinDublinIreland

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