Decision support systems disrupt GPs' workflow

General practitioners and nurses find computerised decision support systems for chronic disease management difficult and unhelpful. Rousseau and colleagues (p 314) conducted a qualitative interview study in parallel with a randomised controlled trial of a decision support system for the management of stable angina and asthma in primary care (BMJ 2002;325:941)[Abstract/Free Full Text]. Clinicians reported that the system triggered at inappropriate times, was difficult to use despite training, lacked individualised guidance for patients, and did not add to their current knowledge. It did not fit well within a general practice consultation, which suggests much more work is needed to improve the utility and acceptability of computerised decision supports.

(Credit: VICTOR HABBICK VISIONS/SPL)

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Relevant Article

Practice based, longitudinal, qualitative interview study of computerised evidence based guidelines in primary care

Nikki Rousseau, Elaine McColl, John Newton, Jeremy Grimshaw, and Martin Eccles
BMJ 2003 326: 314. [Abstract] [Full Text] [PDF]