Adding insight: a qualitative cross-site study of physician order entry

• Published in: Studies in health technology and informatics Vol. 107; no. Pt 2; p. 1013
• Main Authors: Ash, Joan S, Sittig, Dean F, Seshadri, Veena, Dykstra, Richard H, Carpenter, James D, Stavri, P Zoe
• Format: Journal Article
• Language: English
• Published: Netherlands 2004
• Subjects: Data Collection; Health Plan Implementation; Hospital Information Systems - trends; Hospital Information Systems - utilization; Hospitals, Community - organization & administration; Hospitals, Teaching - organization & administration; Medical Errors; Medical Records Systems, Computerized - trends; Medical Records Systems, Computerized - utilization; Medication Systems, Hospital; Organizational Culture; Organizational Innovation; Physicians; United States; User-Computer Interface; United States
• ISSN: 0926-9630
• DOI: 10.3233/978-1-60750-949-3-1013

The research questions, strategies, and results of a six-year qualitative study of computerized physician order entry implementation (CPOE) at successful sites are reviewed over time. The iterative nature of qualitative inquiry stimulates a consecutive stream of research foci which, with each iteration, add further insight into the overarching research question. A multidisciplinary team of researchers studied CPOE implementation in four organizations using a multi-method approach to address the question "what are the success factors for implementing CPOE?" Four major themes emerged after studying three sites; ten themes resulted from blending the first results with those from a fourth site; and twelve principles were generated when results of a qualitative analysis of consensus conference transcripts were combined with the field data. The study has produced detailed descriptions of factors related to CPOE success and insight into the implementation process.