Clinical Decision Support System (CDSS)CDSS-ADOPTNCT07398235
A Qualitative Study Examining Clinical Decision Support System Adoption Among Hospital Clinicians
An observational study of Clinical Decision Support System (CDSS), run by Medway NHS Foundation Trust at 1 site in United Kingdom.
Trial summary
A Qualitative Study to Explore the Barriers to Adoption of Clinical Decision Support Systems Read more about this study
- Who is it for?
- Any ageHealthy volunteers can take part
- Conditions the study is for
- Clinical Decision Support System (CDSS)
- What is being tested?
- Semi-structured interview
- How many people
- 18 participants
- Where
- 1 siteUnited Kingdom
- Study dates
- 10 Jan 2026to 16 Mar 2026
- How long will I take part?
- 1 Day
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages Any age
- All sexes
- Healthy volunteers accepted
- Child, Adult, Older adult
Study population: Hospital clinicians employed by Medway NHS Foundation Trust
Who may be able to join
- Employed by Medway NHS Foundation Trust at the time of recruitment
- Working clinically within the Emergency Department
- Clinical grade of FY1, FY2, SHO/CTF, SAS/Registrar, Consultant, Nurse, Advanced Clinical practitioner, Physician Assistant, or Clinical Support Worker
- Involved in the assessment and management of adult emergency department patients
- Have routine access to the Trust electronic patient record system (Sunrise EPR) during clinical duties
- Able to provide informed consent to participate
- Aged 18 years or older
Who cannot join
- Bank, agency, or locum staff who are not permanently or regularly employed by the department.
- Staff currently on leave, secondment, or not actively practising in the ED during the data collection period.
- Clinicians currently involved in the design, management, or evaluation of the CDSS system under study.
Trial locations and contacts
1 site in 1 country.
United Kingdom1 site
Medway NHS Foundation Trust
Gillingham, Kent, ME7 5NY
About this study
Official title: A Qualitative Study to Explore the Barriers to Adoption of Clinical Decision Support Systems
A Qualitative Study to Explore the Barriers to Adoption of Clinical Decision Support Systems
Read the detailed description
Qualitative study looking at clinical decision support system adoption among clinicians in a district general hospital. This will involve semi-structured interviews of various clinical staff in the emergency department, looking at work-habits regarding clinical decision support tool use.
- Conditions
- Clinical Decision Support System (CDSS)
- Being tested
- Semi-structured interview
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Semi-structured interviewOther
A 20-30 minute semi-structured interview using the pre-defined topic sheet
| Study group | Role | What they receive |
|---|---|---|
| FY1/2 | Foundation Year 1 \& 2 Doctors Receives: Other: Semi-structured interview | |
| SHO | Senior House Officer level doctor above FY2 but below Registrar Receives: Other: Semi-structured interview | |
| Registrar | Registrar level doctor Receives: Other: Semi-structured interview | |
| Consultant | Consultant level doctor Receives: Other: Semi-structured interview | |
| Physician Assistant | Physician Assistant clinician Receives: Other: Semi-structured interview | |
| ACP | Advanced Clinical Practitioner Receives: Other: Semi-structured interview | |
| CSW | Clinical Support Worker Receives: Other: Semi-structured interview | |
| Nurse | Registered Nurse Receives: Other: Semi-structured interview |
What is being measured
The primary outcome is the main question the study is designed to answer.
Saturation of Themes Related to Barriers to CDSS Adoption
The primary outcome examines the barriers to clinical decision support system adoption, such as hardware issues, governance concerns, user-interface problems, and trusted information. These themes will be examined during interviews with open-ended questions to allow user experiences to be recorded.
This study will use purposive sampling with maximum variation to ensure representation across key categories of Emergency Department clinicians who use clinical decision support systems (CDSS). Participants will be selected to capture a range of roles and experiences, including Advanced Clinical Practitioners (ACPs), Physician Associates (PAs), Clinical Support Workers (CSWs), nurses, and doctors at different levels (Foundation Year 1-2, Senior House Officers, Registrars, and Consultants). Recruitment will continue until data saturation of themes related to CDSS adoption is achieved within and across these categories, anticipated at approximately one to two participants per role group.
Measured: The study ran between 10th January 2026 until 31 January 2026. The study was considered complete once all planned participant interviews have been conducted or recruitment has formally ceased following achievement of data saturation.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted9 Feb 2026
- Study start10 Jan 2026
- Primary completion31 Jan 2026
- Study completion16 Mar 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (5)Papers the sponsor has linked to this study.
- Other trials for Clinical Decision Support System (CDSS)Studies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 18 participants (actual)
- Target duration
- 1 Day
Sponsor and investigators
- Lead sponsor
- Medway NHS Foundation Trust
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Saad Muhammad, Medway NHS Foundation Trust
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07398235
- Sponsor's protocol ID
- 1366
- Other IDs
- IRAS ID: 365984
- Acronym
- CDSS-ADOPT
- Status last verified
- May 2026
- First submitted
- 19 Jan 2026
- Last updated
- 18 May 2026
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Mebrahtu TF, Skyrme S, Randell R, Keenan AM, Bloor K, Yang H, Andre D, Ledward A, King H, Thompson C. Effects of computerised clinical decision support systems (CDSS) on nursing and allied health professional performance and patient outcomes: a systematic review of experimental and observational studies. BMJ Open. 2021 Dec 15;11(12):e053886. doi: 10.1136/bmjopen-2021-053886.
PubMed 34911719Meunier PY, Raynaud C, Guimaraes E, Gueyffier F, Letrilliart L. Barriers and Facilitators to the Use of Clinical Decision Support Systems in Primary Care: A Mixed-Methods Systematic Review. Ann Fam Med. 2023 Jan-Feb;21(1):57-69. doi: 10.1370/afm.2908.
PubMed 36690490Chen W, O'Bryan CM, Gorham G, Howard K, Balasubramanya B, Coffey P, Abeyaratne A, Cass A. Barriers and enablers to implementing and using clinical decision support systems for chronic diseases: a qualitative systematic review and meta-aggregation. Implement Sci Commun. 2022 Jul 28;3(1):81. doi: 10.1186/s43058-022-00326-x.
PubMed 35902894Liberati EG, Ruggiero F, Galuppo L, Gorli M, Gonzalez-Lorenzo M, Maraldi M, Ruggieri P, Polo Friz H, Scaratti G, Kwag KH, Vespignani R, Moja L. What hinders the uptake of computerized decision support systems in hospitals? A qualitative study and framework for implementation. Implement Sci. 2017 Sep 15;12(1):113. doi: 10.1186/s13012-017-0644-2.
PubMed 28915822Sutton RT, Pincock D, Baumgart DC, Sadowski DC, Fedorak RN, Kroeker KI. An overview of clinical decision support systems: benefits, risks, and strategies for success. NPJ Digit Med. 2020 Feb 6;3:17. doi: 10.1038/s41746-020-0221-y. eCollection 2020.
PubMed 32047862
Study at a glance
From the registry record, last updated by the sponsor on 18 May 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Qualitative Study to Explore the Barriers to Adoption of Clinical Decision Support Systems
- ClinicalTrials.gov ID
- NCT07398235
- Acronym / sponsor ID
- CDSS-ADOPT / 1366
- Conditions
- Clinical Decision Support System (CDSS)
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 18 participants (actual)
- Lead sponsor
- Medway NHS Foundation TrustUniversity, hospital or other
- Study start
- 10 Jan 2026 (actual)
- Primary completion
- 31 Jan 2026 (actual)
- Study completion
- 16 Mar 2026 (actual)
- First posted
- 9 Feb 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
A Qualitative Study to Explore the Barriers to Adoption of Clinical Decision Support Systems
Detailed description
Qualitative study looking at clinical decision support system adoption among clinicians in a district general hospital. This will involve semi-structured interviews of various clinical staff in the emergency department, looking at work-habits regarding clinical decision support tool use.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Target follow-up
- 1 Day
- Number of arms
- 8
| Arm | Type | Receives |
|---|---|---|
| FY1/2 | – | Other: Semi-structured interviewFoundation Year 1 \& 2 Doctors |
| SHO | – | Other: Semi-structured interviewSenior House Officer level doctor above FY2 but below Registrar |
| Registrar | – | Other: Semi-structured interviewRegistrar level doctor |
| Consultant | – | Other: Semi-structured interviewConsultant level doctor |
| Physician Assistant | – | Other: Semi-structured interviewPhysician Assistant clinician |
| ACP | – | Other: Semi-structured interviewAdvanced Clinical Practitioner |
| CSW | – | Other: Semi-structured interviewClinical Support Worker |
| Nurse | – | Other: Semi-structured interviewRegistered Nurse |
Who may qualify
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child, Adult, Older adult
- Study population
- Hospital clinicians employed by Medway NHS Foundation Trust
Key inclusion criteria (7 listed)
- Employed by Medway NHS Foundation Trust at the time of recruitment
- Working clinically within the Emergency Department
- Clinical grade of FY1, FY2, SHO/CTF, SAS/Registrar, Consultant, Nurse, Advanced Clinical practitioner, Physician Assistant, or Clinical Support Worker
- Involved in the assessment and management of adult emergency department patients
- Have routine access to the Trust electronic patient record system (Sunrise EPR) during clinical duties
Key exclusion criteria (3 listed)
- Bank, agency, or locum staff who are not permanently or regularly employed by the department.
- Staff currently on leave, secondment, or not actively practising in the ED during the data collection period.
- Clinicians currently involved in the design, management, or evaluation of the CDSS system under study.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Semi-structured interviewA 20-30 minute semi-structured interview using the pre-defined topic sheet | Other | ACP, CSW, Consultant, FY1/2, Nurse, Physician Assistant, Registrar, SHO |
Primary outcome
Saturation of Themes Related to Barriers to CDSS Adoption
Time frame: The study ran between 10th January 2026 until 31 January 2026. The study was considered complete once all planned participant interviews have been conducted or recruitment has formally ceased following achievement of data saturation.
The primary outcome examines the barriers to clinical decision support system adoption, such as hardware issues, governance concerns, user-interface problems, and trusted information. These themes will be examined during interviews with open-ended questions to allow user experiences to be recorded. This study will use purposive sampling with maximum variation to ensure representation across key categories of Emergency Department clinicians who use clinical decision support systems (CDSS). Participants will be selected to capture a range of roles and experiences, including Advanced Clinical Practitioners (ACPs), Physician Associates (PAs), Clinical Support Workers (CSWs), nurses, and doctors at different levels (Foundation Year 1-2, Senior House Officers, Registrars, and Consultants). Recruitment will continue until data saturation of themes related to CDSS adoption is achieved within and across these categories, anticipated at approximately one to two participants per role group.
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 18 May 2026.
- Background: PubMed 34911719Mebrahtu TF, Skyrme S, Randell R, Keenan AM, Bloor K, Yang H, Andre D, Ledward A, King H, Thompson C. Effects of computerised clinical decision support systems (CDSS) on nursing and allied health professional performance and patient outcomes: a systematic review of experimental and observational studies. BMJ Open. 2021 Dec 15;11(12):e053886. doi: 10.1136/bmjopen-2021-053886.
- Background: PubMed 36690490Meunier PY, Raynaud C, Guimaraes E, Gueyffier F, Letrilliart L. Barriers and Facilitators to the Use of Clinical Decision Support Systems in Primary Care: A Mixed-Methods Systematic Review. Ann Fam Med. 2023 Jan-Feb;21(1):57-69. doi: 10.1370/afm.2908.
- Background: PubMed 35902894Chen W, O'Bryan CM, Gorham G, Howard K, Balasubramanya B, Coffey P, Abeyaratne A, Cass A. Barriers and enablers to implementing and using clinical decision support systems for chronic diseases: a qualitative systematic review and meta-aggregation. Implement Sci Commun. 2022 Jul 28;3(1):81. doi: 10.1186/s43058-022-00326-x.
- Background: PubMed 28915822Liberati EG, Ruggiero F, Galuppo L, Gorli M, Gonzalez-Lorenzo M, Maraldi M, Ruggieri P, Polo Friz H, Scaratti G, Kwag KH, Vespignani R, Moja L. What hinders the uptake of computerized decision support systems in hospitals? A qualitative study and framework for implementation. Implement Sci. 2017 Sep 15;12(1):113. doi: 10.1186/s13012-017-0644-2.
- Background: PubMed 32047862Sutton RT, Pincock D, Baumgart DC, Sadowski DC, Fedorak RN, Kroeker KI. An overview of clinical decision support systems: benefits, risks, and strategies for success. NPJ Digit Med. 2020 Feb 6;3:17. doi: 10.1038/s41746-020-0221-y. eCollection 2020.
- 10 Year Health Plan for England (Department of Health and Social Care)Link provided by the sponsor.
- Independent Investigation of the NHS in England (Department of Health and Social Care)Link provided by the sponsor.
- Supporting clinical decisions with health information technology: An implementation guide for clinical decision support systems (NHS England)Link provided by the sponsor.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Clinical Decision Support System (CDSS), run by Medway NHS Foundation Trust at 1 site in United Kingdom.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 18 May 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United Kingdom. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Saturation of Themes Related to Barriers to CDSS Adoption (time frame: The study ran between 10th January 2026 until 31 January 2026. The study was considered complete once all planned participant interviews have been conducted or recruitment has formally ceased following achievement of data saturation.). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT07398235, which also lists 5 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 18 May 2026.