Table 2.

Formal Interview Guide

Culture: What seems to be the motivation for CDS? What are the cultural barriers and facilitators here? How have attitudes towards CDS shifted over the years?

Control, autonomy, trust: What is the organizational structure (either formal or informal) that relates the quality and IT groups? How do they relate to clinical staff? What are the clinical priorities? Who sets the clinical priorities? How stable is this staff? Who is on CDS committees and why? How do CDS- related committees interact with one another? How do the committees communicate with users? How have they changed over the years? In your estimation, who holds the power here?

Cognition, emotions: What are the barriers and facilitators to use? What is the training for CDS like? How do clinicians keep up to date about CDS? How do people feel about CDS?

Content: Where does the organization get its clinical decision support logic from? How customized is the CDS and who does it? How often is the clinical content reviewed? What would motivate this hospital to share its content with others? What was implemented when and why?

Human-computer interface: What are the issues surrounding presentation of CDS to clinicians?