Physicians’ perception of CPOE implementation

Allenet, Benoît; Bedouch, Pierrick; Bourget, Stéphanie; Baudrant, Magalie; Foroni, L.; Calop, J.; Bosson, Jean‐Luc

doi:10.1007/s11096-011-9521-2

Cited by 9 publications

(5 citation statements)

References 39 publications

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“…Various studies have tried to measure the attitude of physicians towards CPOE systems in general and towards alerting in particular [22][23][24][25][26][27][28][29][30][31]. These studies have mostly been conducted in single hospitals, or in hospital groups using the same CPOE systems.…”

Section: Discussionmentioning

confidence: 99%

Attitude of Physicians Towards Automatic Alerting in Computerized Physician Order Entry Systems

Jung¹,

Hoerbst²,

Hackl³

et al. 2013

Methods Inf Med

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SummaryObjectives: To analyze the attitude of physicians towards alerting in CPOE systems in different hospitals in different countries, addressing various organizational and technical settings and the view of physicians not currently using a CPOE.Methods: A cross-sectional quantitative and qualitative questionnaire survey. We invited 2,600 physicians in eleven hospitals from nine countries to participate. Eight of the hospitals had different CPOE systems in use, and three of the participating hospitals were not using a CPOE system.Results: 1,018 physicians participated. The general attitude of the physicians towards CPOE alerting is positive and is found to be mostly independent of the country, the specific organizational settings in the hospitals and their personal experience with CPOE systems. Both quantitative and qualitative results show that the majority of the physicians, both CPOE-users and non-users, appreciate the benefits of alerting in CPOE systems on medication safety. However, alerting should be better adapted to the clinical context and make use of more sophisticated ways to present alert information. The vast majority of physicians agree that additional information regarding interactions is useful on demand. Around half of the respondents see possible alert overload as a major problem; in this regard, physicians in hospitals with sophisticated alerting strategies show partly better attitude scores.Conclusions: Our results indicate that the way alerting information is presented to the physicians may play a role in their general attitude towards alerting, and that hospitals with a sophisticated alerting strategy with less interruptive alerts tend towards more positive attitudes. This aspect needs to be further investigated in future studies.

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Section: Discussionmentioning

confidence: 99%

Attitude of Physicians Towards Automatic Alerting in Computerized Physician Order Entry Systems

Jung¹,

Hoerbst²,

Hackl³

et al. 2013

Methods Inf Med

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“…Pharmacy residents work under the supervision of a senior pharmacist. The on‐ward integration of clinical pharmacy residents was considered as a factor in the successful implementation of the CPOE system and was strongly supported by the physicians [31]. The main mission of clinical pharmacy residents is to assist physicians with drug therapy, by taking medication histories directly from patients at admission, participating in physicians' ward rounds, validating medication orders and performing patient education before discharge.…”

Section: Methodsmentioning

confidence: 99%

Computerized physician order entry system combined with on‐ward pharmacist: analysis of pharmacists' interventions

Bedouch

Tessier

Baudrant

et al. 2011

Evaluation Clinical Practice

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“…Another novel feature of this research was the inclusion of outcome measures that assessed productivity, efficiency, and time saving of the eMR entry system. The extant literature focuses primarily on physicians’ satisfaction rates to demonstrate the superiority of the eMR system [ 3 , 30 – 32 ]. This study identified the differences between the two eMR entry systems with more concrete and objective measures.…”

Section: Discussionmentioning

confidence: 99%

Does Computerized Physician Order Entry Benefit from Dynamic Structured Data Entry? A Quasi-Experimental Study

Linn

Ying

Chang

2018

BMC Med Inform Decis Mak

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BackgroundWith advancements in information technology, computerized physician order entry (CPOE) and electronic Medical Records (eMR), have become widely utilized in medical settings. The predominant mode of CPOE in Taiwan is free text entry (FTE). Dynamic structured data entry (DSDE) was introduced more recently, and has increasingly drawn attention from hospitals across Taiwan. This study assesses how DSDE compares to FTE for CPOE.MethodsA quasi-experimental study was employed to investigate the time-savings, productivity, and efficiency effects of DSDE in an outpatient setting in the gynecological department of a major hospital in Taiwan. Trained female actor patients were employed in trials of both entry methods. Data were submitted to Shapiro-Wilk and Shapiro-Francia tests to assess normality, and then to paired t-tests to assess differences between DSDE and FTE.ResultsRelative to FTE, the use of DSDE resulted in an average of 97% time saved and 55% more abundant and detailed content in medical records. In addition, for each clause entry in a medical record, the time saved is 133% for DSDE compared to FTE.ConclusionThe results suggest that DSDE is a much more efficient and productive entry method for clinicians in hospital outpatient settings. Upgrading eMR systems to the DSDE format would benefit both patients and clinicians.

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Physicians’ perception of CPOE implementation

Abstract: Endorsement by senior physicians and the presence of a clinical pharmacist on ward promote a positive attitude towards CPOE and facilitate its implementation.

Cited by 9 publications

References 39 publications

Attitude of Physicians Towards Automatic Alerting in Computerized Physician Order Entry Systems

Attitude of Physicians Towards Automatic Alerting in Computerized Physician Order Entry Systems

Computerized physician order entry system combined with on‐ward pharmacist: analysis of pharmacists' interventions

Does Computerized Physician Order Entry Benefit from Dynamic Structured Data Entry? A Quasi-Experimental Study

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