Barriers to the Use of Clinical Decision Support for the Evaluation of Pulmonary Embolism: Qualitative Interview Study
BackgroundClinicians often disregard potentially beneficial clinical decision support (CDS). ObjectiveIn this study, we sought to explore the psychological and behavioral barriers to the use of a CDS tool. MethodsWe conducted a qualitative study involv...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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JMIR Publications
2021-08-01
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| Series: | JMIR Human Factors |
| Online Access: | https://humanfactors.jmir.org/2021/3/e25046 |
| _version_ | 1827859202472673280 |
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| author | Safiya Richardson Katherine L Dauber-Decker Thomas McGinn Douglas P Barnaby Adithya Cattamanchi Renee Pekmezaris |
| author_facet | Safiya Richardson Katherine L Dauber-Decker Thomas McGinn Douglas P Barnaby Adithya Cattamanchi Renee Pekmezaris |
| author_sort | Safiya Richardson |
| collection | DOAJ |
| description |
BackgroundClinicians often disregard potentially beneficial clinical decision support (CDS).
ObjectiveIn this study, we sought to explore the psychological and behavioral barriers to the use of a CDS tool.
MethodsWe conducted a qualitative study involving emergency medicine physicians and physician assistants. A semistructured interview guide was created based on the Capability, Opportunity, and Motivation-Behavior model. Interviews focused on the barriers to the use of a CDS tool built based on Wells’ criteria for pulmonary embolism to assist clinicians in establishing pretest probability of pulmonary embolism before imaging.
ResultsInterviews were conducted with 12 clinicians. Six barriers were identified, including (1) Bayesian reasoning, (2) fear of missing a pulmonary embolism, (3) time pressure or cognitive load, (4) gestalt includes Wells’ criteria, (5) missed risk factors, and (6) social pressure.
ConclusionsClinicians highlighted several important psychological and behavioral barriers to CDS use. Addressing these barriers will be paramount in developing CDS that can meet its potential to transform clinical care. |
| first_indexed | 2024-03-12T13:04:58Z |
| format | Article |
| id | doaj.art-fd23f5a1ca3d42699e7a6f788aad0e05 |
| institution | Directory Open Access Journal |
| issn | 2292-9495 |
| language | English |
| last_indexed | 2024-03-12T13:04:58Z |
| publishDate | 2021-08-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | JMIR Human Factors |
| spelling | doaj.art-fd23f5a1ca3d42699e7a6f788aad0e052023-08-28T18:27:56ZengJMIR PublicationsJMIR Human Factors2292-94952021-08-0183e2504610.2196/25046Barriers to the Use of Clinical Decision Support for the Evaluation of Pulmonary Embolism: Qualitative Interview StudySafiya Richardsonhttps://orcid.org/0000-0002-8576-1102Katherine L Dauber-Deckerhttps://orcid.org/0000-0002-0498-8779Thomas McGinnhttps://orcid.org/0000-0003-1005-227XDouglas P Barnabyhttps://orcid.org/0000-0002-2135-0224Adithya Cattamanchihttps://orcid.org/0000-0002-6553-2601Renee Pekmezarishttps://orcid.org/0000-0003-2731-6489 BackgroundClinicians often disregard potentially beneficial clinical decision support (CDS). ObjectiveIn this study, we sought to explore the psychological and behavioral barriers to the use of a CDS tool. MethodsWe conducted a qualitative study involving emergency medicine physicians and physician assistants. A semistructured interview guide was created based on the Capability, Opportunity, and Motivation-Behavior model. Interviews focused on the barriers to the use of a CDS tool built based on Wells’ criteria for pulmonary embolism to assist clinicians in establishing pretest probability of pulmonary embolism before imaging. ResultsInterviews were conducted with 12 clinicians. Six barriers were identified, including (1) Bayesian reasoning, (2) fear of missing a pulmonary embolism, (3) time pressure or cognitive load, (4) gestalt includes Wells’ criteria, (5) missed risk factors, and (6) social pressure. ConclusionsClinicians highlighted several important psychological and behavioral barriers to CDS use. Addressing these barriers will be paramount in developing CDS that can meet its potential to transform clinical care.https://humanfactors.jmir.org/2021/3/e25046 |
| spellingShingle | Safiya Richardson Katherine L Dauber-Decker Thomas McGinn Douglas P Barnaby Adithya Cattamanchi Renee Pekmezaris Barriers to the Use of Clinical Decision Support for the Evaluation of Pulmonary Embolism: Qualitative Interview Study JMIR Human Factors |
| title | Barriers to the Use of Clinical Decision Support for the Evaluation of Pulmonary Embolism: Qualitative Interview Study |
| title_full | Barriers to the Use of Clinical Decision Support for the Evaluation of Pulmonary Embolism: Qualitative Interview Study |
| title_fullStr | Barriers to the Use of Clinical Decision Support for the Evaluation of Pulmonary Embolism: Qualitative Interview Study |
| title_full_unstemmed | Barriers to the Use of Clinical Decision Support for the Evaluation of Pulmonary Embolism: Qualitative Interview Study |
| title_short | Barriers to the Use of Clinical Decision Support for the Evaluation of Pulmonary Embolism: Qualitative Interview Study |
| title_sort | barriers to the use of clinical decision support for the evaluation of pulmonary embolism qualitative interview study |
| url | https://humanfactors.jmir.org/2021/3/e25046 |
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