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Enhancing trust in clinical decision support systems: a framework for developers

Caroline Jones Orcid Logo, James Thornton, Jeremy C Wyatt

BMJ Health & Care Informatics, Volume: 28, Issue: 1, Pages: e100247 - 8

Swansea University Author: Caroline Jones Orcid Logo

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DOI (Published version): 10.1136/bmjhci-2020-100247

Abstract

Systematic reviews show that clinical decision support systems (CDSSs) can improve clinical management and patient outcomes; but clinicians have reported their reluctance to use CDSSs, citing concerns about accuracy and reliability. Trust is crucial for relationships between the developers of inform...

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Published in: BMJ Health & Care Informatics
ISSN: 2632-1009
Published: London BMJ 2021
Online Access: Check full text

URI: https://cronfa.swan.ac.uk/Record/cronfa56101
Abstract: Systematic reviews show that clinical decision support systems (CDSSs) can improve clinical management and patient outcomes; but clinicians have reported their reluctance to use CDSSs, citing concerns about accuracy and reliability. Trust is crucial for relationships between the developers of information systems and their users, and is a contemporary concern for policymakers. We applied O’Neill’s trust and trustworthiness framework in our analysis of the problem of clinicians’ concerns over the use of CDSSs (as reported in a recent pilot survey), to enhance our understanding of how to improve trust and trustworthiness in health and care informatics, and explore how CDSS developers can use the framework to increase their trustworthiness. Applying O’Neill’s framework generated suggestions for CDSS developers to adopt to improve clinical trust in them and their products. We discuss how this might support informaticians in their quest to understand and improve user-system relationships.
Keywords: Trust, trustworthiness, clinical decision support systems, developers, regulation
College: Faculty of Humanities and Social Sciences
Funders: Hillary Rodham Clinton School of Law & Nottingham Law School (using staff research budgets)
Issue: 1
Start Page: e100247
End Page: 8

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