Perceptions of Physician Order Entry: Results of a Cross-Site Qualitative Study

Joan S. Ash, P. N. Gorman, M. Lavelle, P. Z. Stavri, J. Lyman, L. Fournier, J. Carpenter

Research output: Contribution to journalArticlepeer-review

47 Scopus citations

Abstract

Objective: To identify perspectives of success factors for implementing computerized physician order entry (POE) in the inpatient setting. Design: Qualitative study by a multidisciplinary team using data from observation, focus groups, and both formal and informal interviews. Data were analyzed using a grounded approach to develop a taxonomy of patterns and themes from the transcripts and field notes. Results: A taxonomy of ten high level themes was developed, including 1) separating POE from other processes, 2) terms, concepts, and connotations, 3) context, 4) tradeoffs, 5) conflicts and contradictions, 6) collaboration and trust, 7) leaders and bridgers, 8) the organization of information, 9) the ongoing nature of implementation, and 10) temporal concerns. Conclusion: The identified success factors indicate that POE implementation is an iterative and difficult process, but informants perceive it is worth the effort.

Original languageEnglish (US)
Pages (from-to)313-323
Number of pages11
JournalMethods of Information in Medicine
Volume42
Issue number4
DOIs
StatePublished - 2003

Keywords

  • Clinical systems
  • Physician order entry
  • Qualitative research methods
  • Qualitative study

ASJC Scopus subject areas

  • Health Informatics
  • Advanced and Specialized Nursing
  • Health Information Management

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