Assessing the anticipated consequences of Computer-based Provider Order Entry at three community hospitals using an open-ended, semi-structured survey instrument

Abstract Objective To determine what “average” clinicians in organizations that were about to implement Computer-based Provider Order Entry (CPOE) were expecting to occur, we conducted an open-ended, semi-structured survey at three community hospitals. Methods We created an open-ended, semi-structur...

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Bibliographic Details
Published in:	International journal of medical informatics (Shannon, Ireland) Vol. 77; no. 7; pp. 440 - 447
Main Authors:	Sittig, Dean F, Ash, Joan S, Guappone, Ken P, Campbell, Emily M, Dykstra, Richard H
Format:	Journal Article
Language:	English
Published:	Ireland Elsevier Ireland Ltd 01-07-2008
Subjects:	Attitude of Health Personnel Community Data Collection Ethnology Hospitals Hospitals, Community - statistics & numerical data Internal Medicine Medical informatics Medical Order Entry Systems Medical Order Entry Systems - statistics & numerical data Oregon Other Practice Patterns, Physicians' - statistics & numerical data Program Evaluation - methods Oregon Ethnology Hospitals Community Medical Order Entry Systems Medical informatics
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Summary:	Abstract Objective To determine what “average” clinicians in organizations that were about to implement Computer-based Provider Order Entry (CPOE) were expecting to occur, we conducted an open-ended, semi-structured survey at three community hospitals. Methods We created an open-ended, semi-structured, interview survey template that we customized for each organization. This interview-based survey was designed to be administered orally to clinicians and take approximately 5 min to complete, although clinicians were allowed to discuss as many advantages or disadvantages of the impending system roll-out as they wanted to. Results Our survey findings did not reveal any overly negative, critical, problematic, or striking sets of concerns. However, from the standpoint of unintended consequences, we found that clinicians were anticipating only a few of the events, emotions, and process changes that are likely to result from CPOE. Conclusions The results of such an open-ended survey may prove useful in helping CPOE leaders to understand user perceptions and predictions about CPOE, because it can expose issues about which more communication, or discussion, is needed. Using the survey, implementation strategies and management techniques outlined in this paper, any chief information officer (CIO) or chief medical information officer (CMIO) should be able to adequately assess their organization's CPOE readiness, make the necessary mid-course corrections, and be prepared to deal with the currently identified unintended consequences of CPOE should they occur.
Bibliography:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-1 content type line 23 ObjectType-Article-1 ObjectType-Feature-2
ISSN:	1386-5056 1872-8243
DOI:	10.1016/j.ijmedinf.2007.08.005