Examining Perceptions of Computerized Physician Order Entry in a Neonatal Intensive Care Unit

Abstract

Introducing CPOE is a potentially risky endeavor and must be done carefully to mitigate harm. Although high expectations of the system can be met, it is important to attend to differing expectations among clinicians with varied levels of comfort with technology. Interdisciplinary collaboration is critical in planning a functioning CPOE to ensure that efficient workflow is maintained and appropriate supports for individuals with a lower degree of technical literacy is available.

The burden of the digital environment: a systematic review on organization-directed workplace interventions to mitigate physician burnout

“…Most studies (35 studies) were conducted in the US, 1 in the United Kingdom, 17 and 2 were multinational as systematic reviews. 10 , 43 Study designs included cross-sectional studies (4 studies), 27 , 65 , 92 , 93 pre-post-intervention surveys (21 studies), 17 , 22 , 28–30 , 35 , 44–46 , 49 , 51 , 56 , 57 , 63 , 64 , 66 , 67 , 76 , 77 , 83 prospective studies (5 studies), 20 , 32 , 41 , 62 , 70 randomized controlled trials (RCTs) (4 studies), 39 , 58 , 59 , 75 2 systematic reviews 10 , 43 and other designs (2 studies). 14 , 53 Comparators were a condition of study inclusion, and the majority of studies provided baseline or preintervention data.…”

“… 39 , 70 Interventions were conducted in multiple settings, but most evaluated primary care (22 studies) physicians and residents. 20 , 22 , 27–30 , 32 , 39 , 41 , 44–46 , 56 , 58 , 59 , 64 , 65 , 70 , 77 , 83 , 92 , 93 Some studies examined specialists (7 studies), 14 , 35 , 53 , 57 , 63 , 66 , 75 a mix of primary care physicians and specialists (4 studies), 10 , 21 , 62 , 76 and groups of physicians with unspecified specialties (5 studies). 17 , 43 , 49 , 51 , 67…”

“…Four studies did not report the instrument used to measure burnout-related outcomes. 14 , 20 , 67 , 76 The majority (17 studies) of authors developed their own surveys, 17 , 21 , 22 , 27 , 29 , 35 , 39 , 46 , 53 , 56 , 57 , 63–66 , 77 , 93 and 2 studies provided only qualitative findings. 49 , 83 As systematic reviews, 2 studies had multiple types of burnout measures.…”

Impact of Patient Census and Admission Mortality on Pediatric Intensive Care Unit Attending Electronic Health Record Activity: A Preliminary Study

“…They store and organize a large amount of clinical data (i.e., vital signs, laboratory data), provide clinical decision support systems to assist clinicians in making medical decisions, prevent medication errors, and allow order entry anywhere there is a computer. [10][11][12][13] Furthermore, some studies have shown that EHRs are associated with lower mortality rates and complications. 10,12,[14][15][16] But, while EHRs are necessary to deliver medical care, they do not replace it.…”

A comparative study of the utilisation of an electronic test–result management system in emergency and intensive care settings

“…While the impact of HIT on test-result management practices in Emergency Department (ED) settings has been studied, [7][8][9] the effect of HIT specifically on Intensive Care Unit (ICU) test-result management has not yet been examined, with ICU studies predominantly assessing the impact of CPOE on clinicians or medication management. 10,11 Despite the availability of sophisticated computerised systems, missed test-results and inadequate test-result follow-up continue to impact patient safety and quality of care. 6,[12][13][14][15][16] In 2017, the US ECRI Institute identified 'Test-result Reporting and Follow-Up' as a top 10 patient safety concern.…”