Kawamoto, et al. did a systematic review of the research literature and identified design characteristics that are associated with successful deployment of CDS.30 Their review showed that:
1. Computer-based decision support is more effective than manual processes for decision support.
2. CDS interventions that are presented automatically and fit into the workflow of the clinicians are more likely to be used.
3. CDS that recommends actions for the user to take are more effective than CDS that simply provides assessments.
4. CDS interventions that provide information at the time and place of decisionmaing are more likely to have an impact.