Table 5 Technical barriers and enablers

Technical barriers

Not integrated into the EHR (n = 2)

Lack of integration and reliance on manual data collection

Providers experienced technical barriers where EHR integration was poor, where CDS displayed an excess number of prompts or had glitches

Laborious data collection

Reliance on data

Lack of learning capacity of the system

Cluttered with stuff (n = 2)

Too much information or too many alerts

Burdensome prompts

Problem of multiple pop-ups

Glitches

Glitches and inaccuracies with alerts

Wrong alerts

Technical enablers

Attractive design features (n = 2)

Attractive visuals and use of colour

Providers experienced technical enablers with attractive CDS designs, point of care availability of relevant information including historic data, where systems were easy to use and reliable, and had tailored functionalities

Use of colour (n = 2)

Visual aide

Hands-on information

Patient information is immediately available at point of care

At a glance

Immediately there

Historical data

Information includes historical data

Faster than going to the files

Space saving

Ease of use

System is easy to use and reliable

Reliability is key

Drill-down functionality

Functionalities to examine population and individual level data

Identify and understand subgroups