Conclusion
We demonstrated that the implementation of a CDSS was feasible for complex treatment procedures, such as the treatment of stage III and IV PI in people with SCI. Milestone adherence, time to prescribe, and cost capture can be used as quality indicators of the implementation. HCPs’ perspectives should always be integrated into the implementation processes, especially in clinical processes with low evidence and a need for consensus-based management. The IT processes should include reminder systems, allow multiple data use for different purposes, and provide high-speed performance to increase the acceptance by HCPs. We learned that other factors, such as the time required for training and integration with existing information systems, were also important for successful implementation and that implementation is akin to cultural development.