Principles for a successful computerized physician order entry implementation.

Joan Ash, Lara Fournier, P. Zoë Stavri, Richard Dykstra

Research output: Contribution to journalArticle

50 Citations (Scopus)

Abstract

To identify success factors for implementing computerized physician order entry (CPOE), our research team took both a top-down and bottom-up approach and reconciled the results to develop twelve overarching principles to guide implementation. A consensus panel of experts produced ten Considerations with nearly 150 sub-considerations, and a three year project using qualitative methods at multiple successful sites for a grounded theory approach yielded ten general themes with 24 sub-themes. After reconciliation using a meta-matrix approach, twelve Principles, which cluster into groups forming the mnemonic CPOE emerged. Computer technology principles include: temporal concerns; technology and meeting information needs; multidimensional integration; and costs. Personal principles are: value to users and tradeoffs; essential people; and training and support. Organizational principles include: foundational underpinnings; collaborative project management; terms, concepts and connotations; and improvement through evaluation and learning. Finally, Environmental issues include the motivation and context for implementing such systems.

Original languageEnglish (US)
Pages (from-to)36-40
Number of pages5
JournalAMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium
StatePublished - 2003

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Medical Order Entry Systems
Technology
Training Support
Motivation
Consensus
Learning
Costs and Cost Analysis
Research

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Principles for a successful computerized physician order entry implementation. / Ash, Joan; Fournier, Lara; Stavri, P. Zoë; Dykstra, Richard.

In: AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium, 2003, p. 36-40.

Research output: Contribution to journalArticle

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