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The concern of having new CDSS unused is still one of the biggest issues in developing countries for the developers and implementers of clinical IT systems.
The GuideLine Implementability Appraisal provides a tool designed to help developers and implementers better understand and anticipate barriers to successful implementation.
By identifying and understanding the types and causes of unintended adverse consequences associated with CPOE, system developers and implementers are expected to better manage implementation and maintenance of CPOE [ 39].
The GLIDES project has developed tools and methods to aid guideline developers and implementers in taking CDS to a national scale.
Guideline implementation could be improved if guideline developers and implementers are aware of the potential barriers and involve all relevant staff members in the implementation strategies.
The concern of having new CDSS unused is still one of the biggest issues for the developers and implementers of clinical IT systems [ 8].
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Guideline developers, educators and implementers should be encouraged by these findings.
We need to find a balance between supporting the organization, as the developer and implementer of the project, while garnering greater buy-in from the community.
This language engineering concept also promotes active collaboration between instructors (the users of the languages) and developers (the designers and implementers) throughout the development process.
Our study relied on self-report of a survey among developers, technical implementers and clinical implementers.
This is a core activity of the Guideline Implementability Research and Application Network (GIRAnet), and may lead to a sustainable effort where guideline developers, implementers and researchers contribute to, and draw from this shared resource on an international basis [ 34].
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