Implementation of Physician Order Entry: User Satisfaction and Self-Reported usage Patterns

Lee, Fiona; Teich, Jonathan M.; Spurr, Cynthia; Bates, David W.

doi:10.1136/jamia.1996.96342648

Cited by 223 publications

(168 citation statements)

References 10 publications

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“…They chose the first part of the Physician Order Entry user Satisfaction and Usage Survey (POESUS) questionnaire [9]. This questionnaire was preferred because its internal consistency (Cronbach's α) is high, it is dedicated to CPOE deployment and it has already been used for CPOE.…”

Section: Questionnairementioning

confidence: 99%

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Physician satisfaction with transition from CPOE to paper-based prescription

Griffon

Schuers

Joulakian

et al. 2017

International Journal of Medical Informatics

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Highlights Users reported poor satisfaction with the computerized provider order entry system.  Reliability and user interface design are highly important in health information technology.  The switch from computerized provider order entry towards paper based order entry was well accepted.  Even in an emergency setting, the switch is possible with no perceptible impact on patient safety.  Issues identified by a satisfaction survey eased the redeployment of computerized provider order entry. AbstractIntroduction: In January 2015, Rouen University Hospital's information system experienced serious

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Section: Questionnairementioning

confidence: 99%

“…As a transformational technology [9], CPOE modifies the care process and has encountered some resistance during deployment. One important determinant of this resistance is user satisfaction [10] [11].…”

Section: Introductionmentioning

confidence: 99%

Physician satisfaction with transition from CPOE to paper-based prescription

Griffon

Schuers

Joulakian

et al. 2017

International Journal of Medical Informatics

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“…20 In fact, often user satisfaction is correlated strongly with the efficiency aspects of CPOE systems, rather than the particular technologic innovations or decision-support features of a particular system. 11,12,21 For instance, clinicians immediately recognize the value of having laboratory reports and current medications on one computer screen as they are making decisions, but the fact that it takes a tremendous amount of software manipulation to make this happen does not matter to them. Multiple studies indicate that CPOE decreases the overall time required to process orders, compared with traditional, paper-based methods.…”

Section: Cpoe Efficiencymentioning

confidence: 99%

“…13 Common fears of CPOE held by physicians include the following: (1) CPOE will "deintellectualize" care with protocols; (2) CPOE will promote "cookbook" medicine; (3) CPOE will increase time at computers at the expense of patient interactions; (4) edits (alerts) will interrupt workflow and thought flow; and (5) cultural traditions and practice routines will be altered. 3,6,11,[13][14][15][16] To combat such negative notions and obstacles to implementation, early and consistent clinician involvement is critical in the development and maintenance of CPOE. 5,13 …”

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confidence: 99%

“…The system is designed to augment physicians' decision-making process by providing edits and relevant information at the time of order entry. 2,5,11 The introduction of a CPOE system requires a shift in everyday practices of all members of a health care team. Change is daunting for many physicians, nurses, and health administrators, which is why a clear understanding of CPOE and its benefits, possible drawbacks, and obstacles is necessary.…”

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confidence: 99%

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The Introduction of Computerized Physician Order Entry and Change Management in a Tertiary Pediatric Hospital

Upperman¹,

Staley²,

Friend³

et al. 2005

Pediatrics

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ABSTRACT. Objectives. The objectives of this review were to document the introduction of computerized physician order entry (CPOE)-centered changes in an academic tertiary care center and to review the CPOE-focused literature.Design. We performed a systematic literature review of CPOE-related articles indexed on Medline, with particular emphasis on pediatric applications. We focused our commentary around the concepts involved in the implementation process at a tertiary pediatric hospital.Results. In 2001, the Children's Hospital of Pittsburgh (CHP) embarked on the process of CPOE design and implementation. We determined that CPOE is a tool for improving pediatric care. The CPOE implementation process is more than a technologic change; it involves an organizational cultural transformation. Although the complete transition to CPOE was little more than 1 year ago, CHP has overcome the typical obstacles of CPOE implementation to begin to realize its many benefits. The early success of CHP was achieved by creating a realistic, positive, work environment, which fostered hospitalwide participation and integration.Conclusion. CPOE is an invaluable resource for supporting patient safety in health care settings. The successful implementation of CPOE requires a paradigm shift in hospital policies and processes. CPOE implementation is much more than an information technology change. Rather, CPOE involves a major health care delivery paradigm shift in administrative and clinical policies and functions. Administratively, as noted by a leading CPOE expert group, "successful CPOE is not a technology implementation but a redesign of a complex clinical process, integrating the technology at key points to enhance and optimize ordering decisions." 5 In other words, a paperless trail that makes sense from inventory management to frontline notification of critical drug orders must be designed and checked. Clinically, the introduction of CPOE requires a new level of integration among all aspects of the hospital. In addition, CPOE algorithms can be designed to move clinicians from expert opinion-based to evidencebased clinical decision-making through computersupported knowledge management. 5,6 For example, antibiotic choices can be tailored through the CPOE environment. While ordering antibiotics, clinicians can view the appropriate treatment guidelines and references online during the ordering process, which can assist them in making better therapeutic decisions.Hallmarks of CPOE implementation include a high level of leadership, widespread employee commitment to the project, availability of resources, access to technology, comprehensive training, and communication. 3,[5][6][7][8] This review presents the pertinent features of CPOE and illustrates the importance of these factors by examining the implementation process at a tertiary pediatric hospital. The case study depicts the changes during the prelive, live, and postlive time periods (Fig 1) and outline the CPOE implementation strategy and the management of organizational change at...

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