A Qualitative Study to Explore the Barriers to Adoption of Clinical Decision Support Systems
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 18
- 试验地点
- 1
- 主要终点
- Saturation of Themes Related to Barriers to CDSS Adoption
研究概览
简要总结
A Qualitative Study to Explore the Barriers to Adoption of Clinical Decision Support Systems
详细描述
Qualitative study looking at clinical decision support system adoption among clinicians in a district general hospital. This will involve semi-structured interviews of various clinical staff in the emergency department, looking at work-habits regarding clinical decision support tool use.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Employed by Medway NHS Foundation Trust at the time of recruitment
- •Working clinically within the Emergency Department
- •Clinical grade of FY1, FY2, SHO/CTF, SAS/Registrar, Consultant, Nurse, Advanced Clinical practitioner, Physician Assistant, or Clinical Support Worker
- •Involved in the assessment and management of adult emergency department patients
- •Have routine access to the Trust electronic patient record system (Sunrise EPR) during clinical duties
- •Able to provide informed consent to participate
- •Aged 18 years or older
排除标准
- •Bank, agency, or locum staff who are not permanently or regularly employed by the department.
- •Staff currently on leave, secondment, or not actively practising in the ED during the data collection period.
- •Clinicians currently involved in the design, management, or evaluation of the CDSS system under study.
研究组 & 干预措施
FY1/2
Foundation Year 1 & 2 Doctors
干预措施: Semi-structured interview (Other)
SHO
Senior House Officer level doctor above FY2 but below Registrar
干预措施: Semi-structured interview (Other)
Registrar
Registrar level doctor
干预措施: Semi-structured interview (Other)
Consultant
Consultant level doctor
干预措施: Semi-structured interview (Other)
Physician Assistant
Physician Assistant clinician
干预措施: Semi-structured interview (Other)
CSW
Clinical Support Worker
干预措施: Semi-structured interview (Other)
结局指标
主要结局
Saturation of Themes Related to Barriers to CDSS Adoption
时间窗: The study ran between 10th January 2026 until 31 January 2026. The study was considered complete once all planned participant interviews have been conducted or recruitment has formally ceased following achievement of data saturation.
The primary outcome examines the barriers to clinical decision support system adoption, such as hardware issues, governance concerns, user-interface problems, and trusted information. These themes will be examined during interviews with open-ended questions to allow user experiences to be recorded. This study will use purposive sampling with maximum variation to ensure representation across key categories of Emergency Department clinicians who use clinical decision support systems (CDSS). Participants will be selected to capture a range of roles and experiences, including Advanced Clinical Practitioners (ACPs), Physician Associates (PAs), Clinical Support Workers (CSWs), nurses, and doctors at different levels (Foundation Year 1-2, Senior House Officers, Registrars, and Consultants). Recruitment will continue until data saturation of themes related to CDSS adoption is achieved within and across these categories, anticipated at approximately one to two participants per role group.
次要结局
未报告次要终点
研究者
Saad Muhammad
Chief Investigator
Medway NHS Foundation Trust