Methodology for evaluating physician order entry (POE) implementations

Geiger, Glen; Derman, Yaron D.

doi:10.1046/j.1365-2753.2003.00403.x

Cited by 7 publications

(3 citation statements)

References 24 publications

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“…These systems provide healthcare professionals with the ability to enter orders directly into a computer and receive results back electronically (Lee et al 1996;Doolan & Bates 2002;Kuperman & Gibson 2003;Ash, Gorman et al 2004). The potential benefits of EOS include increased compliance with guidelines, optimisation of clinical time and enhanced communication processes (Sittig & Stead 1994;Lee et al 1996;Overhage et al 1997;Weiner et al 1999;Murff & Kannry 2001;Doolan & Bates 2002;Hwang, Park & Bakken 2002;Mekhjian et al 2002;Geiger & Derman 2003;Berger & Kichak 2004). These systems are core components of electronic health records, which, when linked with other systems, allow clinicians greater accessibility to information sources along with the provision of decision-support that can improve healthcare (Ash & Bates 2005).…”

mentioning

confidence: 99%

Multiple Perspectives on the Impact of Electronic Ordering on Hospital Organisational and Communication Processes

Georgiou

Westbrook

Braithwaite

et al. 2005

Health Information Management

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Electronic ordering systems provide many potential benefits for improving the efficiency and effectiveness of healthcare delivery. They also have major implications for organisational and communication processes within hospitals. We undertook a qualitative study using focus groups and interviews with doctors, nurses, IT managers, and pathology laboratory managers to investigate the impact of the system on their work processes and relations within a major teaching hospital. This study revealed that the new electronic ordering system involved major alterations to the information management processes within the hospital, which in turn affected communication processes and work relations.

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confidence: 99%

Multiple Perspectives on the Impact of Electronic Ordering on Hospital Organisational and Communication Processes

Georgiou

Westbrook

Braithwaite

et al. 2005

Health Information Management

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“…An example of the latter can be found in Venkatesh and Davis's (2000) study that assessed voluntariness in part based on senior managers' reports. Geiger and Derman's (2003) study concerning the adoption of a provider order entry (POE) system is an additional example of such decision-making:…”

Section: Intended Voluntariness (Ivol)mentioning

confidence: 99%

Voluntary Use of Information Technology: An Analysis and Synthesis of the Literature

Tsai

Compeau

Meister

2017

Journal of Information Technology

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Voluntariness is recognized as an important influence on individual and collective technology acceptance. We conducted a comprehensive review of this literature and identified a rich set of voluntariness concepts and methods of operationalization. However, while considerable empirical evidence is reported in the literature, our review also revealed inconsistent results concerning the relationship between voluntariness and other concepts. Against that backdrop, we synthesized the literature into three types of voluntariness - perceived, intended and realizable voluntariness (RVOL), and showed how prior literature had not adequately accounted for RVOL. Moreover, we examined the multiple mechanisms that influence voluntariness and created a model to describe how to advance new knowledge about the important relationships among the three types of voluntariness and between voluntariness and user behavior. We argue that these concepts and relationships may help advance our knowledge of how a new technology is used individually and collectively in organizations.

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“…These were used to compare pre-and post-CPOE implementation clinical performance, enabling a socio-technical feedback-improvement cycle. 29 Based on the increasing experience with CPOE implementations outlined above it seem prudent for an organization implementing CPOE to consider measuring a number of parameters during a routine implementation. 20,21,[27][28][29] These measures at a minimum would include:…”

Section: Cpoe Benefit Realization Approachesmentioning

confidence: 99%

Evaluation and Certification of Computerized Provider Order Entry Systems

Classen

Avery

Bates

2007

Journal of the American Medical Informatics Association

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Computerized physician order entry (CPOE) is an application that is used to electronically write physician orders either in the hospital or in the outpatient setting. It is used in about 15% of U.S. Hospitals and a smaller percentage of ambulatory clinics. It is linked with clinical decision support, which provides much of the value of implementing it. A number of studies have assessed the impact of CPOE with respect to a variety of parameters, including costs of care, medication safety, use of guidelines or protocols, and other measures of the effectiveness or quality of care. Most of these studies have been undertaken at CPOE exemplar sites with homegrown clinical information systems. With the increasing implementation of commercial CPOE systems in various settings of care has come evidence that some implementation approaches may not achieve previously published results or may actually cause new errors or even harm. This has lead to new initiatives to evaluate CPOE systems, which have been undertaken by both vendors and other groups who evaluate vendors, focused on CPOE vendor capabilities and effective approaches to implementation that can achieve benefits seen in published studies. In addition, an electronic health record (EHR) vendor certification process is ongoing under the province of the Certification Commission for Health Information Technology (CCHIT) (which includes CPOE) that will affect the purchase and use of these applications by hospitals and clinics and their participation in public and private health insurance programs. Large employers have also joined this focus by developing flight simulation tools to evaluate the capabilities of these CPOE systems once implemented, potentially linking the results of such programs to reimbursement through pay for performance programs. The increasing role of CPOE systems in health care has invited much more scrutiny about the effectiveness of these systems in actual practice which has the potential to improve their ultimate performance.

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Methodology for evaluating physician order entry (POE) implementations

Cited by 7 publications

References 24 publications

Multiple Perspectives on the Impact of Electronic Ordering on Hospital Organisational and Communication Processes

Multiple Perspectives on the Impact of Electronic Ordering on Hospital Organisational and Communication Processes

Voluntary Use of Information Technology: An Analysis and Synthesis of the Literature

Evaluation and Certification of Computerized Provider Order Entry Systems

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