What was a significant reason for the poor adoption of CDSSs (Clinical Decision Support Systems) after their introduction?

A significant reason for the poor adoption of Clinical Decision Support Systems (CDSSs) after their introduction was their inadequate integration with clinical workflows. Effective clinical decision support relies on seamless incorporation into the daily routines and processes of healthcare professionals. When these systems do not fit naturally into existing practices, they can disrupt workflow, create additional workload, or require significant changes in how clinicians operate. This misalignment can lead to frustration among users, making them less inclined to adopt and consistently use the systems.

Moreover, if CDSSs require input at inconvenient times or offer information that is not readily accessible within the context of patient care, their utility diminishes. Clinicians need tools that enhance their decision-making capabilities without adding complexity, and systems that fail to provide such an experience are often met with resistance. The overall effectiveness of CDSSs hinges on their ability to complement rather than complicate clinical processes.