TY - JOUR
T1 - Assessing the anticipated consequences of Computer-based Provider Order Entry at three community hospitals using an open-ended, semi-structured survey instrument
AU - Sittig, Dean F.
AU - Ash, Joan S.
AU - Guappone, Ken P.
AU - Campbell, Emily M.
AU - Dykstra, Richard H.
N1 - Funding Information:
This study was supported by grants LM06942-02 and LM007088-14 from the USA's National Library of Medicine. We would like to thank the site PIs for this study namely, Homer Chin, Dick Gibson, and Mark Zielazinski. In addition we would like to thank all of the clinicians who gave us their time to complete the survey. Finally, we would like to thank Ashley Jones and Caroline Weathern for their help in conducting the survey.
PY - 2008/7
Y1 - 2008/7
N2 - 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.
AB - 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.
KW - Community
KW - Ethnology
KW - Hospitals
KW - Medical Order Entry Systems
KW - Medical informatics
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U2 - 10.1016/j.ijmedinf.2007.08.005
DO - 10.1016/j.ijmedinf.2007.08.005
M3 - Article
C2 - 17931963
AN - SCOPUS:43649089800
SN - 1386-5056
VL - 77
SP - 440
EP - 447
JO - International Journal of Medical Informatics
JF - International Journal of Medical Informatics
IS - 7
ER -