  This paper presents and discusses the results of a small scoping survey of
Clinical Decision Support System (CDSS) users from the Medical Algorithms
Company website which hosts 24,000 different CDSS. These results are analysed,
discussed, and compared with other similar studies and contribute to the wider
understanding of how CDSS impact on clinical practice. The results show that
CDSS provided by Medal are being used by clinical professionals in a variety of
settings, both as an operational tool and as a research and reference tool.
Whilst these tools are implemented and executed in a database, the initial
logic is worked out on a spreadsheet. The paper describes that process and
examines some of the results of the survey.
