Use the GUIDES implementation checklist

Right Decision Service implementation guide
National

The GUIDES checklist Domain 4 [Van de Velde 2018a] again provides a useful checklist of issues around implementation.

 

Adapted from GUIDES checklist Domain 4: The DSS implementation

4.1 Information to users about the DSS and its functions is appropriate

  • Is the communication and documentation about the DSS appropriate?
  • Are help topics related to the functioning of the DSS available to users?
  • If necessary, is user training available?

 

4.2 Other barriers and facilitators to compliance with the decision support advice are assessed/addressed

  • Is there an assessment of the beliefs, attitudes and skills of the providers and patients that may affect adherence? Are actions planned/taken accordingly?
  • Is there an assessment of the professional interactions affecting adherence, and are actions planned/taken accordingly?
  • Is there an assessment of the (dis)incentives affecting the adherence of healthcare providers and patients? Are necessary actions planned / taken?
  • Is there an assessment of the issues related to the capacity and resources needed to ensure adherence? Are the necessary actions planned / taken?
  • Does the organisational context influence adherence and are actions planned/taken accordingly?

 

4.3 Implementation is stepwise and the improvements in the DSS are continuous

  • Is the implementation of the CDS stepwise?
  • Is a plan in place to collect user feedback and to monitor system usage, performance and outcomes?
  • Are malfunctions and other problems with use of the CDS quickly fixed?

 

4.4 Governance of the DSS implementation is appropriate

  • Are all the key stakeholders involved in the planning and implementation of the system?
  • Is the CDS initiative governed in an efficient, sustainable and equitable way?