Why Have Most Clinical Decision Support (CDS) Systems Not Shown

Multiple Choice

Why have most clinical decision support (CDS) systems not shown to significantly impact patient outcomes in clinical trials, despite the fact that a majority of systems have been shown to significantly improve care processes?

A) CDS systems have not been evaluated in clinical trials.
B) Very few studies have assessed the impact of CDS systems on patient outcomes.
C) Many CDS system evaluation trials are underpowered to detect changes in care outcomes.
D) CDS systems have been implemented and evaluated in too many diverse institutions.