Healthcare Professionals' Perceptions, Barriers, and Facilitators towards Adopting Computerised Clinical Decision Support Systems in Antimicrobial Stewardship in Jordanian Hospitals
Understanding healthcare professionals' perceptions towards a computerised decision support system (CDSS) may provide a platform for the determinants of the successful adoption and implementation of CDSS. This cross-sectional study examined healthcare professionals' perceptions, barriers,...
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Published in | Healthcare (Basel) Vol. 11; no. 6; p. 836 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | English |
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Abstract | Understanding healthcare professionals' perceptions towards a computerised decision support system (CDSS) may provide a platform for the determinants of the successful adoption and implementation of CDSS. This cross-sectional study examined healthcare professionals' perceptions, barriers, and facilitators to adopting a CDSS for antibiotic prescribing in Jordanian hospitals. This study was conducted among healthcare professionals in Jordan's two tertiary and teaching hospitals over four weeks (June-July 2021). Data were collected in a paper-based format from senior and junior prescribers and non-prescribers (
= 254) who agreed to complete a questionnaire. The majority (
= 184, 72.4%) were aware that electronic prescribing and electronic health record systems could be used specifically to facilitate antibiotic use and prescribing. The essential facilitator made CDSS available in a portable format (
= 224, 88.2%). While insufficient training to use CDSS was the most significant barrier (
= 175, 68.9%). The female providers showed significantly lower awareness (
= 0.006), and the nurses showed significantly higher awareness (
= 0.041) about using electronic prescribing and electronic health record systems. This study examined healthcare professionals' perceptions of adopting CDSS in antimicrobial stewardship (AMS) and shed light on the perceived barriers and facilitators to adopting CDSS in AMS, reducing antibiotic resistance, and improving patient safety. Furthermore, results would provide a framework for other hospital settings concerned with implementing CDSS in AMS and inform policy decision-makers to react by implementing the CDSS system in Jordan and globally. Future studies should concentrate on establishing policies and guidelines and a framework to examine the adoption of the CDSS for AMS. |
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AbstractList | Understanding healthcare professionals' perceptions towards a computerised decision support system (CDSS) may provide a platform for the determinants of the successful adoption and implementation of CDSS. This cross-sectional study examined healthcare professionals' perceptions, barriers, and facilitators to adopting a CDSS for antibiotic prescribing in Jordanian hospitals. This study was conducted among healthcare professionals in Jordan's two tertiary and teaching hospitals over four weeks (June-July 2021). Data were collected in a paper-based format from senior and junior prescribers and non-prescribers (
= 254) who agreed to complete a questionnaire. The majority (
= 184, 72.4%) were aware that electronic prescribing and electronic health record systems could be used specifically to facilitate antibiotic use and prescribing. The essential facilitator made CDSS available in a portable format (
= 224, 88.2%). While insufficient training to use CDSS was the most significant barrier (
= 175, 68.9%). The female providers showed significantly lower awareness (
= 0.006), and the nurses showed significantly higher awareness (
= 0.041) about using electronic prescribing and electronic health record systems. This study examined healthcare professionals' perceptions of adopting CDSS in antimicrobial stewardship (AMS) and shed light on the perceived barriers and facilitators to adopting CDSS in AMS, reducing antibiotic resistance, and improving patient safety. Furthermore, results would provide a framework for other hospital settings concerned with implementing CDSS in AMS and inform policy decision-makers to react by implementing the CDSS system in Jordan and globally. Future studies should concentrate on establishing policies and guidelines and a framework to examine the adoption of the CDSS for AMS. Understanding healthcare professionals’ perceptions towards a computerised decision support system (CDSS) may provide a platform for the determinants of the successful adoption and implementation of CDSS. This cross-sectional study examined healthcare professionals’ perceptions, barriers, and facilitators to adopting a CDSS for antibiotic prescribing in Jordanian hospitals. This study was conducted among healthcare professionals in Jordan’s two tertiary and teaching hospitals over four weeks (June–July 2021). Data were collected in a paper-based format from senior and junior prescribers and non-prescribers (n = 254) who agreed to complete a questionnaire. The majority (n = 184, 72.4%) were aware that electronic prescribing and electronic health record systems could be used specifically to facilitate antibiotic use and prescribing. The essential facilitator made CDSS available in a portable format (n = 224, 88.2%). While insufficient training to use CDSS was the most significant barrier (n = 175, 68.9%). The female providers showed significantly lower awareness (p = 0.006), and the nurses showed significantly higher awareness (p = 0.041) about using electronic prescribing and electronic health record systems. This study examined healthcare professionals’ perceptions of adopting CDSS in antimicrobial stewardship (AMS) and shed light on the perceived barriers and facilitators to adopting CDSS in AMS, reducing antibiotic resistance, and improving patient safety. Furthermore, results would provide a framework for other hospital settings concerned with implementing CDSS in AMS and inform policy decision-makers to react by implementing the CDSS system in Jordan and globally. Future studies should concentrate on establishing policies and guidelines and a framework to examine the adoption of the CDSS for AMS. Understanding healthcare professionals’ perceptions towards a computerised decision support system (CDSS) may provide a platform for the determinants of the successful adoption and implementation of CDSS. This cross-sectional study examined healthcare professionals’ perceptions, barriers, and facilitators to adopting a CDSS for antibiotic prescribing in Jordanian hospitals. This study was conducted among healthcare professionals in Jordan’s two tertiary and teaching hospitals over four weeks (June–July 2021). Data were collected in a paper-based format from senior and junior prescribers and non-prescribers ( n = 254) who agreed to complete a questionnaire. The majority ( n = 184, 72.4%) were aware that electronic prescribing and electronic health record systems could be used specifically to facilitate antibiotic use and prescribing. The essential facilitator made CDSS available in a portable format ( n = 224, 88.2%). While insufficient training to use CDSS was the most significant barrier ( n = 175, 68.9%). The female providers showed significantly lower awareness ( p = 0.006), and the nurses showed significantly higher awareness ( p = 0.041) about using electronic prescribing and electronic health record systems. This study examined healthcare professionals’ perceptions of adopting CDSS in antimicrobial stewardship (AMS) and shed light on the perceived barriers and facilitators to adopting CDSS in AMS, reducing antibiotic resistance, and improving patient safety. Furthermore, results would provide a framework for other hospital settings concerned with implementing CDSS in AMS and inform policy decision-makers to react by implementing the CDSS system in Jordan and globally. Future studies should concentrate on establishing policies and guidelines and a framework to examine the adoption of the CDSS for AMS. |
Audience | Academic |
Author | Alshogran, Osama Y Marriott, John F Albahar, Fares Curtis, Chris E Abu-Farha, Rana K Alhamad, Hamza |
AuthorAffiliation | 3 Department of Clinical Pharmacy, Faculty of Pharmacy, Jordan University of Science and Technology, P.O. Box 3030, Irbid 22110, Jordan 1 Department of Clinical Pharmacy, Faculty of Pharmacy, Zarqa University, P.O. Box 2000, Zarqa 13110, Jordan 4 Department of Pharmacy, College of Medical & Dental Sciences, University of Birmingham, Birmingham B15 2TT, UK 2 Department of Clinical Pharmacy and Therapeutics, Faculty of Pharmacy, Applied Science Private University, P.O. Box 541350, Amman 11937, Jordan |
AuthorAffiliation_xml | – name: 4 Department of Pharmacy, College of Medical & Dental Sciences, University of Birmingham, Birmingham B15 2TT, UK – name: 1 Department of Clinical Pharmacy, Faculty of Pharmacy, Zarqa University, P.O. Box 2000, Zarqa 13110, Jordan – name: 3 Department of Clinical Pharmacy, Faculty of Pharmacy, Jordan University of Science and Technology, P.O. Box 3030, Irbid 22110, Jordan – name: 2 Department of Clinical Pharmacy and Therapeutics, Faculty of Pharmacy, Applied Science Private University, P.O. Box 541350, Amman 11937, Jordan |
Author_xml | – sequence: 1 givenname: Fares surname: Albahar fullname: Albahar, Fares organization: Department of Clinical Pharmacy, Faculty of Pharmacy, Zarqa University, P.O. Box 2000, Zarqa 13110, Jordan – sequence: 2 givenname: Rana K surname: Abu-Farha fullname: Abu-Farha, Rana K organization: Department of Clinical Pharmacy and Therapeutics, Faculty of Pharmacy, Applied Science Private University, P.O. Box 541350, Amman 11937, Jordan – sequence: 3 givenname: Osama Y orcidid: 0000-0002-2466-4763 surname: Alshogran fullname: Alshogran, Osama Y organization: Department of Clinical Pharmacy, Faculty of Pharmacy, Jordan University of Science and Technology, P.O. Box 3030, Irbid 22110, Jordan – sequence: 4 givenname: Hamza orcidid: 0000-0002-9309-4565 surname: Alhamad fullname: Alhamad, Hamza organization: Department of Clinical Pharmacy, Faculty of Pharmacy, Zarqa University, P.O. Box 2000, Zarqa 13110, Jordan – sequence: 5 givenname: Chris E orcidid: 0000-0002-2244-867X surname: Curtis fullname: Curtis, Chris E organization: Department of Pharmacy, College of Medical & Dental Sciences, University of Birmingham, Birmingham B15 2TT, UK – sequence: 6 givenname: John F surname: Marriott fullname: Marriott, John F organization: Department of Pharmacy, College of Medical & Dental Sciences, University of Birmingham, Birmingham B15 2TT, UK |
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Cites_doi | 10.1016/j.ijmedinf.2004.02.001 10.1136/bmj.38398.500764.8F 10.1007/s11096-020-01022-3 10.2165/00115677-200311110-00004 10.1016/j.ijmedinf.2005.03.007 10.1086/499407 10.1197/jamia.M2049 10.4338/ACI-2013-08-RA-0063 10.1055/s-0038-1634216 10.1186/s12911-015-0205-z 10.1093/fampra/cmn020 10.1136/bmjhci-2019-100086 10.1016/j.ijmedinf.2004.04.001 10.1016/j.ijantimicag.2004.09.001 10.1002/j.1875-9114.1995.tb02866.x 10.1001/jama.294.18.2305 10.4314/mmj.v29i3.4 10.1016/j.ijmedinf.2015.07.005 10.1371/journal.pone.0183062 10.1038/s41746-020-0221-y 10.2196/medinform.8912 10.1016/j.ijmedinf.2021.104506 10.1016/j.ijmedinf.2008.07.001 10.6004/jnccn.2018.7104 10.3390/healthcare11010075 10.1518/001872006776412306 10.3390/cancers12041032 10.1016/S0895-4356(97)00126-1 10.1111/ijcp.13665 10.1197/jamia.M3170 10.1016/j.cmi.2017.08.026 10.1016/j.cmi.2017.02.028 10.1001/jama.293.10.1223 10.1086/499819 10.18683/germs.2019.1165 10.3390/antibiotics11010099 10.3390/ijerph18041901 10.7326/0003-4819-157-1-201207030-00450 10.1186/s12911-021-01434-9 |
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Keywords | computerized clinical decision support systems tertiary hospitals antimicrobial stewardship healthcare professionals |
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SubjectTerms | Antibiotics Antimicrobial agents antimicrobial stewardship Clinical decision making Clinical medicine computerized clinical decision support systems Decision support systems Drug resistance Drug resistance in microorganisms Electronic health records Electronic prescribing healthcare professionals Hospitals Infectious diseases Information technology Medical care Medical personnel Participation Perceptions Professional ethics Quality management Questionnaires Self-medication Surveys tertiary hospitals |
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Title | Healthcare Professionals' Perceptions, Barriers, and Facilitators towards Adopting Computerised Clinical Decision Support Systems in Antimicrobial Stewardship in Jordanian Hospitals |
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