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Table 2 The contrast between the "old think" of many DSS projects and the "new think" that considers decision tools as a potential technology to help get evidence into practice.

From: Decision tools in health care: focus on the problem, not the solution

Old think New think
Complex computerised decision support system that demands respect and understanding A discrete decision tool with the complexity concealed within a simple functional exterior
Hard technical problems are the main focus Hard knowledge management problems are the main focus
Evaluation should focus on the DSS Evaluation should focus on the knowledge problems
The technology dominates the project The problem dominates the project
Select problems that DSS can address Focus on a knowledge problem and match the solution to this – ignoring DSS if need be
Improved decisions are the end point Getting evidence into practice is the end point
The important distinctions are between DSS reasoning methods The important distinctions are between different knowledge management problems and their causes