Healthcare providers are challenged to efficiently achieve evidence-based care for patients and their families. Clinical decision support tools are being introduced to facilitate knowledge transfer to care providers. Order sets are one of the tools. Using the realist review methodology and focus group of interview participants, this paper retrospectively explored relationships that lead to successful order set adoption. Findings demonstrate the need for regular review of clinical context. Technology can offer some enhancements but also introduces complex challenges. Ongoing software development is needed to improve delivery formats as well as incorporate effective tools for efficient continuous quality improvement.
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