Emotional aspects of computer-based provider order entry

A qualitative study

Dean F. Sittig, Michael Krall, JoAnn Kaalaas-Sittig, Joan Ash

Research output: Contribution to journalArticle

62 Citations (Scopus)

Abstract

Objectives: Computer-based provider order entry (CPOE) systems are implemented to increase both efficiency and accuracy in health care, but these systems often cause a myriad of emotions to arise. This qualitative research investigates the emotions surrounding CPOE implementation and use. Methods: We performed a secondary analysis of several previously collected qualitative data sets from interviews and observations of over 50 individuals. Three researchers worked in parallel to identify themes that expressed emotional responses to CPOE. We then reviewed and classified these quotes using a validated hierarchical taxonomy of semantically homogeneous terms associated with specific emotions. Results: The implementation and use of CPOE systems provoked examples of positive, negative, and neutral emotions. Negative emotional responses were the most prevalent, by far, in all the observations. Conclusion: Designing and implementing CPOE systems is difficult. These systems and the implementation process itself often inspire intense emotions. If designers and implementers fail to recognize that various CPOE features and implementation strategies can increase clinicians' negative emotions, then the systems may fail to become a routine part of the clinical care delivery process. We might alleviate some of these problems by designing positive feedback mechanisms for both the systems and the organizations.

Original languageEnglish (US)
Pages (from-to)561-567
Number of pages7
JournalJournal of the American Medical Informatics Association
Volume12
Issue number5
DOIs
StatePublished - Sep 2005

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Emotions
Qualitative Research
Research Personnel
Interviews
Delivery of Health Care

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Emotional aspects of computer-based provider order entry : A qualitative study. / Sittig, Dean F.; Krall, Michael; Kaalaas-Sittig, JoAnn; Ash, Joan.

In: Journal of the American Medical Informatics Association, Vol. 12, No. 5, 09.2005, p. 561-567.

Research output: Contribution to journalArticle

Sittig, Dean F. ; Krall, Michael ; Kaalaas-Sittig, JoAnn ; Ash, Joan. / Emotional aspects of computer-based provider order entry : A qualitative study. In: Journal of the American Medical Informatics Association. 2005 ; Vol. 12, No. 5. pp. 561-567.
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