CPOE in Iran—A viable prospect?

Kazemi, Alireza; Ellenius, Johan; Tofighi, Shahram; Salehi, Aref; Eghbalian, Fatemeh; Fors, Uno

doi:10.1016/j.ijmedinf.2008.07.004

Cited by 17 publications

(21 citation statements)

References 17 publications

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“…The ability of practitioners to access the system unbeknownst to the patient facilitated usage by the practitioner. An individual's positive user attitude was also noted as facilitating a CDSS implementation into practice in the studies of Kazemi et al (2009), Wright et al (2007, Egger et al (2008), and Hor et al (2010).…”

Section: Social Influence Facilitators To Cdss Adoption In Clinical Pmentioning

confidence: 97%

“…Their study of the physician's opinion in the current prescription process and the perceived benefits and obstacles of employing a CDSS noted cultural concerns which influenced the physician's opinions. Kazemi et al (2009) and Lai, Macmillan, Daudelin & Kent (2006), also noted social barriers and a lack of social acceptance as barriers to the use of CDSS in clinical practice settings.…”

Section: Social Influence Barriers To Cdss Adoption In Clinical Practicementioning

confidence: 98%

“…This observation was noted in the studies of Leslie et al (2006) It was not clearly defined if the negative perception of the patient was determined by the practitioner's ability to use the system, or the perception that the practitioner used the system due to a gap in knowledge of the practitioner. In addition to negative perceptions, cultural concerns worked as a barrier in the study of Kazemi et al (2009). Their study of the physician's opinion in the current prescription process and the perceived benefits and obstacles of employing a CDSS noted cultural concerns which influenced the physician's opinions.…”

Section: Social Influence Barriers To Cdss Adoption In Clinical Practicementioning

confidence: 99%

“…Poor computer skills (Leslie, et al, 2006); (Toth-Pal, Wardh, Strender, & Nilsson, 2008) Economic constraints/ finance and resources (Kazemi, et al, 2009); (Macy, Skelly, Shiffman, & Flynn, 2005); (Egger, Epstein, Macario, Pearl, & Grunwald, 2008); (Peek , et al, 2011); (Subramanian, et al, 2007); (Robertson, et al, 2011); (Cobos, et al, 2005) Provider discontinuity/support (Trafton, et al, 2010); (Egger, Epstein, Macario, Pearl, & Grunwald, 2008) Poor customer support (Trafton, et al, 2010) Prior bad experience (Varonen, Kortteisto, & Kaila, 2008); (Peek , et al, 2011); (Cobos, et al, 2005) Lack of motivation/incentives (Peek , et al, 2011);…”

Section: Conditionsmentioning

confidence: 99%

“…Positive user attitude (Kazemi, et al, 2009 Discrete accessibility of resource (Robertson, et al, 2011) …”

Section: Social Influencementioning

confidence: 99%

See 4 more Smart Citations

Barriers and Facilitators to Clinical Decision Support Systems Adoption: A Systematic Review

Devaraj¹,

Sharma²,

Fausto³

et al. 2014

JBAR

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The objective of the study was to identify potential barriers and facilitators to improve clinical practice using computer-based Clinical Decision Support System (CDSS). Studies published since 2000 were found using PubMed database, PsychInfo, CINAHL, EBSCOhost database, and Google scholar. Twenty-six relevant publications were examined. Thirty-five unique barriers and twenty-five unique facilitators were identified in the literature as important determinants of CDSS's adoption in clinical practice. The list of barriers and facilitators collected from each study were then organized under the four dimensions of The Unified Theory of Acceptance and Use of Technology (UTAUT) model: performance expectancy, effort expectancy, social influence, and facilitating conditions. Some of the important barriers to CDSS use include; lack of time or time constraints, economic constraints (e.g., finance and resources), lack of knowledge of system or content, reluctance to use system in front of patients, obscure workflow issues, less authenticity or reliability of information, lack of agreement with the system, and physician or user attitude toward the system. The study contributes immensely to the literature by identifying the important barriers and facilitators of CDSS.

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Section: Social Influence Facilitators To Cdss Adoption In Clinical Pmentioning

confidence: 97%

Section: Social Influence Barriers To Cdss Adoption In Clinical Practicementioning

confidence: 98%

Section: Social Influence Barriers To Cdss Adoption In Clinical Practicementioning

confidence: 99%

Section: Conditionsmentioning

confidence: 99%

“…Positive user attitude (Kazemi, et al, 2009 Discrete accessibility of resource (Robertson, et al, 2011) …”

Section: Social Influencementioning

confidence: 99%

See 3 more Smart Citations

Barriers and Facilitators to Clinical Decision Support Systems Adoption: A Systematic Review

Devaraj¹,

Sharma²,

Fausto³

et al. 2014

JBAR

View full text Add to dashboard Cite

show abstract

A Delphi Study on Developing a Conceptual Framework to Understand the Perception of Iranian Physicians Towards Electronic Health Records

Alavi

Win

2013

Lean Thinking for Healthcare

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The Effect of Computerized Physician Order Entry and Decision Support System on Medication Errors in the Neonatal Ward: Experiences from an Iranian Teaching Hospital

Kazemi

Ellenius²,

Pourasghar³

et al. 2009

J Med Syst

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Medication dosing errors are frequent in neonatal wards. In an Iranian neonatal ward, a 7.5 months study was designed in three periods to compare the effect of Computerized Physician Order Entry (CPOE) without and with decision support functionalities in reducing non-intercepted medication dosing errors in antibiotics and anticonvulsants. Before intervention (Period 1), error rate was 53%, which did not significantly change after the implementation of CPOE without decision support (Period 2). However, errors were significantly reduced to 34% after that the decision support was added to the CPOE (Period 3; P < 0.001). Dose errors were more often intercepted than frequency errors. Over-dose was the most frequent type of medication errors and curtailed-interval was the least. Transcription errors did not reduce after the CPOE implementation. Physicians ignored alerts when they could not understand why they appeared. A suggestion is to add explanations about these reasons to increase physicians' compliance with the system's recommendations.

show abstract

CPOE in Iran—A viable prospect?

Cited by 17 publications

References 17 publications

Barriers and Facilitators to Clinical Decision Support Systems Adoption: A Systematic Review

Barriers and Facilitators to Clinical Decision Support Systems Adoption: A Systematic Review

A Delphi Study on Developing a Conceptual Framework to Understand the Perception of Iranian Physicians Towards Electronic Health Records

The Effect of Computerized Physician Order Entry and Decision Support System on Medication Errors in the Neonatal Ward: Experiences from an Iranian Teaching Hospital

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