Clinical decision support systems for multidisciplinary team decision-making in patients with solid cancer: Composition of an implementation model based on a scoping review

Mathijs P. Hendriks*, Agnes Jager, Kees C.W.J. Ebben, Janine A. van Til, Sabine Siesling

*Corresponding author for this work

Research output: Contribution to journalReview articleAcademicpeer-review

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Abstract

Generating guideline-based recommendations during multidisciplinary team (MDT) meetings in solid cancers is getting more complex due to increasing amount of information needed to follow the guidelines. Usage of clinical decision support systems (CDSSs) can simplify and optimize decision-making. However, CDSS implementation is lagging behind. Therefore, we aim to compose a CDSS implementation model. By performing a scoping review of the currently reported CDSSs for MDT decision-making we determined 102 barriers and 86 facilitators for CDSS implementation out of 44 papers describing 20 different CDSSs. The most frequently reported barriers and facilitators for CDSS implementation supporting MDT decision-making concerned CDSS maintenance (e.g. incorporating guideline updates), validity of recommendations and interoperability with electronic health records. Based on the identified barriers and facilitators, we composed a CDSS implementation model describing clinical utility, analytic validity and clinical validity to guide CDSS integration more successfully in the clinical workflow to support MDTs in the future.

Original languageEnglish
Article number104267
JournalCritical Reviews in Oncology/Hematology
Volume195
DOIs
Publication statusPublished - Mar 2024

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Publisher Copyright: © 2024 The Authors

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