While the evidence clearly supports the use of decisions support tools to improve patient-centered outcomes, there is room for innovation in efforts to implement these tools at the point of care. The use of shared decision making and decision support tools requires a culture shift for providers that will take time and effort. Calls for increasing use of decision support tools often mention potential cost savings but the evidence does not yet firmly support these claims.
Best practices for the adoption of robust shared decision making and decision support tools include the identification of a champion, addressing provider education, including the entire patient care team in the process, provide patient feedback to providers, and identify easily trackable decision moments. Many of these best practices address common barriers to adoption frequently mentioned in the published and grey literature.
Implementation strategies should be tailored to the decision being addressed and the type of decision support tool selected, with attention to the appropriate settings and staff.