Involving Users in the Implementation of an Imaging Order Entry System

Physician order entry is a powerful function of a computerized hospital information system. Although designed to be clinician-driven, the imaging section of the order entry system may not be designed optimally to engage the clinician with imaging procedures logically organized for the clinician'...

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Bibliographic Details
Published in:	Journal of the American Medical Informatics Association : JAMIA Vol. 10; no. 4; pp. 315 - 321
Main Authors:	Schuster, David M, Hall, Suzanne E, Couse, Carole B, Swayngim, Debra S, Kohatsu, Keith Y
Format:	Journal Article
Language:	English
Published:	England Elsevier Inc 01-07-2003 Oxford University Press American Medical Informatics Association
Subjects:	Attitude to Computers Diagnostic Imaging Hospital Information Systems Hospitals, Veterans Humans Medical Records Systems, Computerized North Carolina Organizational Innovation Orthopedics - organization & administration Physicians Radiology Department, Hospital - organization & administration Surgery Department, Hospital - organization & administration The Practice of Informatics User-Computer Interface North Carolina
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Summary:	Physician order entry is a powerful function of a computerized hospital information system. Although designed to be clinician-driven, the imaging section of the order entry system may not be designed optimally to engage the clinician with imaging procedures logically organized for the clinician's typical work patterns. There also may be resistance among overburdened clinicians in having to take the time to learn a new computer system and to assume “clerk's duties” of entering imaging orders. A potential means to address clinician opposition is to cooperatively engage each clinical service in the design of an imaging order entry system with customized menus for each service. This article reports a step-by-step process for the implementation of an imaging order entry system with specialized menus for an orthopedic service. This implementation process includes (1) identification of key personnel, (2) familiarization with the system, (3) discussion and dialogue between key personnel, (4) addressing specific problems, (5) education and orientation of the target group, (6) initial implementation, (7) feedback and improvement, (8) demonstration project (time study) to foster acceptance, and (9) ongoing enhancement.
Bibliography:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-1 content type line 23 ObjectType-Article-1 ObjectType-Feature-2
ISSN:	1067-5027 1527-974X
DOI:	10.1197/jamia.M1208