Qualitative study of challenges with recruitment of hospitals into a cluster controlled trial of clinical decision support in Australia.
Melissa Therese BaysariBethany Annemarie Van DortKristian StanceskiAndrew HargreavesWu Yi ZhengMaria MoranRichard Osborne DayLing LiJohanna I WestbrookSarah N HilmerPublished in: BMJ open (2024)
Hospital participation in controlled cluster trials of CDS is hindered by perceptions that adopting an EMR without CDS is risky for both patients and organisations. The improvements in safety expected to follow CDS implementation makes it challenging and counterintuitive for hospitals to implement EMR without incorporating CDS alerts for the purposes of a research trial. To counteract these barriers, clear communication regarding the evidence base and rationale for a controlled trial is needed.
Keyphrases
- quantum dots
- healthcare
- clinical decision support
- study protocol
- end stage renal disease
- primary care
- visible light
- clinical trial
- ejection fraction
- newly diagnosed
- open label
- chronic kidney disease
- double blind
- electronic health record
- prognostic factors
- emergency department
- physical activity
- patient reported outcomes
- quality improvement