Health care professionals' perceptions towards the use of computerized clinical decision support systems in antimicrobial stewardship in Jordanian hospitals: A two institutional study

Abstract

Background Understanding health care professionals' perceptions towards a Computerised Decision Support System (CDSS) may provide a platform for the determinants of successful adoption and implementation of CDSS. Therefore, this study examines health care professionals' perceptions of barriers and facilitators to adopting a CDSS for antibiotic prescribing in Jordanian hospitals. Methods This cross-sectional study was conducted among healthcare professionals in Jordan's two tertiary and teaching hospitals (n = 254). The survey was adapted from a previous study and comprised demographic items and scales to measure perceptions of healthcare professionals towards the barriers and facilitators to the adoption of CDSS for antibiotic prescribing were developed. In addition, Uni and multivariate logistic regression analyses were applied to screen for factors affecting participants' awareness of using electronic prescribing and electronic health record systems in AMS. Results The majority (n = 84, 72.4%) were aware that electronic prescribing and electronic health record systems could be used to facilitate antibiotic use prescribing. The essential facilitator made CDSS available in a portable format (n = 224, 88.2%). While, insufficient training to use CDSS was the most significant barrier (n = 175, 68.9%). The female providers showed significantly lower awareness (P = 0.006) and the nurses significantly higher awareness (P = 0.041) about using electronic prescribing and electronic health record systems. Conclusion This study examined health care professionals' perceptions towards adopting CDSS in AMS. Results provide insight into the perceived barriers and facilitators to adopting CDSS in AMS.