INTEGRATION OF TECHNOLOGY IN CLINICAL DECISION-MAKING: OPPORTUNITIES AND CHALLENGES IN DIGITAL HEALTH SYSTEMS

Authors

  • Dewi Ulfah Ardiani Postgraduate Student,Master of Nursing Study Program,Faculty of Nursing,Universitas Jember
  • Dodi Wijaya Master of Nursing Study Program,Faculty of Nursing,Universitas Jember
  • Iis Rahmawati Master of Nursing Study Program,Faculty of Nursing,Universitas Jember

Abstract

Background: Digital technologies such as Clinical Decision Support Systems (CDSS), artificial intelligence (AI), and big data are increasingly applied in healthcare to enhance clinical decision-making. While these technologies have the potential to improve care quality and efficiency, challenges in their implementation remain. Objective: To explore the opportunities and challenges of integrating digital technologies into clinical decision-making, focusing on the application of AI, CDSS, and big data in hospitals and healthcare facilities. Methods: A literature review was conducted using Google Scholar with keywords such as “Health Information Technology” AND “Clinical Decision Making” AND “Implementation Challenges” AND “Opportunities” AND “Hospital.” A total of 284 articles were retrieved, with 16 relevant articles analyzed.The focus was on studies published between 2015 and 2025. Results: AI, big data, and CDSS offer significant benefits in clinical decision-making, improving diagnostic accuracy, care efficiency, and reducing medical errors. These technologies provide more precise, evidence-based recommendations, enhancing patient safety. However, challenges include limited infrastructure, resistance to change from healthcare professionals, inadequate training, and concerns over data privacy and security. Discussion : Findings highlight the importance of training healthcare professionals, improving infrastructure, and addressing regulations and ethics in technology implementation. These factors are key to overcoming challenges and formulating better policies for integrating technology into healthcare. Conclusion: Successful implementation requires addressing both technical and non-technical aspects, including healthcare professional training, infrastructure improvement, and a clear understanding of regulations, especially regarding data privacy. This study contributes to the development of strategies for technology integration in healthcare.

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Published

2025-07-30