Designing Clinical Decision Support Systems (CDSS)—A User-Centered Lens of the Design Characteristics, Challenges, and Implications: Systematic Review

作者：Andrew A. Bayor, Jane Li, Ian A. Yang, Marlien Varnfield · 发表于：Journal of Medical Internet Research · 年份：2025 · DOI：10.2196/63733 · 被引用次数：29 · 研究领域：Electronic Health Records Systems、Mobile Health and mHealth Applications、Healthcare Technology and Patient Monitoring

Background: Clinical decision support systems (CDSS) have the potential to play a crucial role in enhancing health care quality by providing evidence-based information to clinicians at the point of care. Despite their increasing popularity, there is a lack of comprehensive research exploring their design characterization and trends. This limits our understanding and ability to optimize their functionality, usability, and adoption in health care settings. Objective: This systematic review examined the design characteristics of CDSS from a user-centered perspective, focusing on user-centered design (UCD), user experience (UX), and usability, to identify related design challenges and provide insights into the implications for future design of CDSS. Methods: This review followed the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) recommendations and used a grounded theory analytical approach to guide the conduct, data analysis, and synthesis. A search of 4 major electronic databases (PubMed, Web of Science, Scopus, and IEEE Xplore) was conducted for papers published between 2013 and 2023, using predefined design-focused keywords (design, UX, implementation, evaluation, usability, and architecture). Papers were included if they focused on a designed CDSS for a health condition and discussed the design and UX aspects (eg, design approach, architecture, or integration). Papers were excluded if they solely covered technical implementation or architecture (...