Clinical Decision Support Systems for Opioid Prescribing for Chronic Non-cancer Pain in Primary Care Settings
Year: 2019
Type: dissertation
Abstract: This thesis sought to provide an understanding of the potential benefits and possible limitations of clinical decision support systems (CDSS) for opioid prescribing for chronic non-cancer pain (CNCP) in primary care settings. Findings from the scoping review and the exploratory qualitative study indicated few potential benefits and significant limitations. There were few studies and, although some reported that the CDSS led to more appropriate prescribing, they used lower quality designs. None of the studies examined patient outcomes or assessed for unintended consequences. Many had conflicts of interest. Developers did not appear to be using evidence when designing a CDSS. Investigators did not follow guidance for the evaluation of complex interventions. The research also demonstrated barriers to implementation for a specific CDSS we evaluated, including increased work, an interrupted workflow and poor buy-in. Therefore, more research is needed before widespread implementation of CDSSs for opioid prescribing for CNCP in primary care settings.
Source: TSpace (University of Toronto)
Author: Sheryl Spithoff
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W2972882694