What was already known on the topic User satisfaction is heterogeneous among clinical decision support systems (CDSS) in short-term analyses Short-term provider satisfaction is positively associated with CDSS that are voluntary, locally-developed, include point of care recommendations, and used in ambulatory settings. Qualitative user opinions of a computerized pediatric CDSS demonstrated general acceptance after two years

What this study added to our knowledge Favorable opinions of the CDSS were more likely in frequent users, physicians and advanced practitioners, and full-time workers. Broad and sustainable improvement in user acceptability is possible with computerized CDSS. CDSS user acceptability improves with user familiarity and system functionality.