Is the ICU staff satisfied with the computerized physician order entry? A cross-sectional survey study

Abstract

ObjectiveTo evaluate the satisfaction of the intensive care unit staff with a computerized physician order entry and to compare the concept of the computerized physician order entry relevance among intensive care unit healthcare workers.MethodsWe performed a cross-sectional survey to assess the satisfaction of the intensive care unit staff with the computerized physician order entry in a 30-bed medical/surgical adult intensive care unit using a self-administered questionnaire. The questions used for grading satisfaction levels were answered according to a numerical scale that ranged from 1 point (low satisfaction) to 10 points (high satisfaction).ResultsThe majority of the respondents (n=250) were female (66%) between the ages of 30 and 35 years of age (69%). The overall satisfaction with the computerized physician order entry scored 5.74±2.14 points. The satisfaction was lower among physicians (n=42) than among nurses, nurse technicians, respiratory therapists, clinical pharmacists and diet specialists (4.62±1.79 versus 5.97±2.14, p<0.001); satisfaction decreased with age (p<0.001). Physicians scored lower concerning the potential of the computerized physician order entry for improving patient safety (5.45±2.20 versus 8.09±2.21, p<0.001) and the ease of using the computerized physician order entry (3.83±1.88 versus 6.44±2.31, p<0.001). The characteristics independently associated with satisfaction were the system's user-friendliness, accuracy, capacity to provide clear information, and fast response time.ConclusionSix months after its implementation, healthcare workers were satisfied, albeit not entirely, with the computerized physician order entry. The overall users' satisfaction with computerized physician order entry was lower among physicians compared to other healthcare professionals. The factors associated with satisfaction included the belief that digitalization decreased the workload and contributed to the intensive care unit quality with a user-friendly and accurate system and that digitalization provided concise information within a reasonable time frame.

An update on diagnostic and prognostic biomarkers for traumatic brain injury

“…Most researchers focused on DNA rather than mRNA, as unlike miRNA, DNA are highly labile and subjected to degradation by RNase found in biofluids. Total plasma cell-free DNA levels were found to be an independent mortality predictor for severe TBI subjects in several studies [148] [149] [150] [151]. However, since total plasma DNA is not brain-specific, it is unlikely DNA-based test will become a specific TBI diagnostic tool.…”

Evaluation of computerized provider order entry systems: assessing the usability of systems for electronic prescription

“…This was in line with the study of Chan et al, in which it was suggested that the order set of CPOE systems should be improved ( 25 ). Similarly, Khajouei et al in their study reported that the order set of the studied CPOE systems needed further update to make prescriptions more intuitive ( 19 ). Overall, the prescription support of CPOE systems can be improved through improving the alerting capabilities and tracking alerts, as well as developing the order sets.…”

“…The highest degree of disagreement was related to the capability of tracking alerts and errors generated by the systems. A key factor related to prescription support capability of CPOE systems is the order set of these systems, which makes the ordering process more efficient ( 19 ). The findings of the current study indicated that the order sets of the systems were at an acceptable level, but further development is required.…”

“…The data collection tool was a questionnaire that was developed mainly based on a validated CPOE usability questionnaire ( 20 ) and reviewing the literature ( 18 , 19 , 21 – 23 ), field observations and interviewing with nurses and the head of information technology departments of the hospitals. The questionnaire was composed of two sections.…”

“…The usability evaluation of CPOE systems can provide valuable information for system developers, potential buyers, and the users ( 12 , 17 , 18 ). The evaluation of CPOE can address various aspects of this system, such as user-friendliness (the capability of displaying patient’s demographic and prescription information in a complete and readable mode, capability of using multiple screens simultaneously for various activities), control of drug orders (drug interactions, drug allergies, drug contraindications), generating alerts (the capability of detecting and tracking alerts, alerting drug contraindications and allergies), and capability of displaying all orders (including discontinued and interrupted ones) ( 16 – 19 ). Given the importance of this system for improving patient safety and care, this study was conducted to evaluate the usability of CPOE systems for electronic prescription in Iran, Tehran.…”