A medication-related Clinical Decision Support System (CDSS) is an application that analyzes patient data to provide assistance in medication-related care processes. Despite its potential to improve the clinical decision-making process, evidence shows that clinicians do not always use CDSSs in such a way that their potential can be fully realized. This systematic literature review provides an overview of frequently-reported barriers and facilitators for acceptance of medication-related CDSS. Search terms and MeSH headings were developed in collaboration with a librarian, and database searches were conducted in Medline, Scopus, Embase and Web of Science Conference Proceedings. After screening 5404 records and 140 full papers, 63 articles were included in this review. Quality assessment was performed for all 63 included articles. The identified barriers and facilitators are categorized within the Human, Organization, Technology fit (HOT-fit) model. A total of 327 barriers and 291 facilitators were identified. Results show that factors most often reported were related to (a lack of) and of information, and and of the system. This review provides a valuable insight into a broad range of barriers and facilitators for using a medication-related CDSS as perceived by clinicians. The results can be used as a stepping stone in future studies developing medication-related CDSSs.

中文翻译：

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临床医生认为影响药物相关 CDSS 接受度的障碍和促进因素：系统评价

药物相关临床决策支持系统 (CDSS) 是一种分析患者数据以在药物相关护理流程中提供帮助的应用程序。尽管 CDSS 具有改善临床决策过程的潜力，但有证据表明，临床医生并不总是以能够充分发挥其潜力的方式使用 CDSS。本系统文献综述概述了接受药物相关 CDSS 时经常报告的障碍和促进因素。搜索术语和 MeSH 标题是与图书馆员合作开发的，数据库搜索是在 Medline、Scopus、Embase 和 Web of Science Conference Proceedings 上进行的。经过筛选5404条记录和140篇全文，63篇文章纳入本次综述。对所有 63 篇纳入的文章进行了质量评估。已确定的障碍和促进因素在人力、组织、技术适合（HOT-适合）模型中进行分类。总共发现了 327 个障碍和 291 个促进因素。结果表明，最常报告的因素与信息（缺乏）和系统有关。这篇综述对临床医生认为使用药物相关 CDSS 的各种障碍和促进因素提供了宝贵的见解。结果可以用作未来开发药物相关 CDSS 的研究的垫脚石。