User Satisfaction with Computerized Order Entry System and Its Effect on Workplace Level of Stress

Abstract

To evaluate the impact of Computerized Provider Order Entry (CPOE) on workplace stress and overall job performance, as perceived by medical students, housestaff, attending physicians and nurses, after CPOE implementation at Penn State-Milton S. Hershey Medical Center, an academic tertiary care facility, in 2005. Using an online survey, the authors studied attitudes towards CPOE among 862 health care professionals. The main outcome measures were job performance and perceived stress levels. Statistical analyses were conducted using the Statistical Analytical Software (SAS Inc, Carey, NC). A total of413 respondents completed the entire survey (47.9 % response rate). Respondents in the younger age group were more familiar with the system, used it more frequently, and were more satisfied with it. Interns and residents were the most satisfied groups with the system, while attending physicians expressed the least satisfaction. Attending physicians and fellows found the system least user friendly compared with other groups, and also tended to express more stress and frustration with the system. Participants with previous CPOE experience were more familiar with the system, would use the system more frequently and were more likely to perceive the system as user friendly. User satisfaction with CPOE increases by familiarity and frequent use of the system. Improvement in system characteristics and avoidance of confusing terminology and inconsistent display of data is expected to enhance user satisfaction. Training in the use of CPOE should start early, ideally integrated into medical and nursing school curricula and form a continuous, long-term and user-specific process. This is expected to increase familiarity with the system, reducing stress and leading to improved user satisfaction and to subsequent enhanced safety and efficiency.

Satisfaction predictors and attitudes towards electronic prescribing systems in three UK hospitals

“…The finding that junior doctors were more satisfied than senior doctors (except in Hospital B) was congruous with the literature [15,16,29], where the overall attitude score declined progressively from junior to senior doctors. Junior doctors reported that they used the e-prescribing system more frequently than senior doctors; therefore, it is expected that junior doctors realised benefits of the system more than senior doctors.…”

“…Doctors' level of chronic stress and time constraints may have contributed to the overall tendency to convey relatively negative attitudes towards the system. In addition, pharmacists reported that they used the system more frequently than doctors, which might have helped them realise the benefits of this technology more than doctors [29]. It is also expected that the system improves legibility, which decreases telephone calls seeking clarification, might have enhanced pharmacists' satisfaction.…”

Toward Successful Migration to Computerized Physician Order Entry for Chemotherapy

“…Usability can be defined as the extent to which a product can be used by specific users to achieve specific goals, with effectiveness, efficiency, and satisfaction in a specific context of use 20 . Some of the commonly reported cpoe usability issues include an excessively complex and unintuitive user interface [21][22][23][24][25] , a cluttered or poorly organized display, lack of safeguards 21,24 , and inflexible or inefficient user interaction 21,[23][24][25] .…”

Attitudes and Perceptions of Pediatric Residents on Transitioning to CPOE

“…Physician satisfaction and comfort with EMR and CPOE specifically has been well described, with the majority of studies identifying both EMR use and satisfaction as inversely related to physician age [15]. Our surveys of pediatric residents throughout the first year of implementation indentified changes in attitudes related to CPOE and EMRs during this time of rapid change, as well as their perceptions as they moved through their training.…”