Computerized physician order entry (CPOE) system: expectations and experiences of users.

Objectives To explore physicians' and nurses' expectations before and experiences after the implementation of a computerized physician order entry (CPOE) system in order to give suggestions for future optimization of the system as well as the implementation process. Method On four internal medicine...

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Publicado en:Journal of Evaluation in Clinical Practice Vol. 16; no. 4; pp. 738 - 744
Autores principales: van Doormaal JE, Mol PGM, Zaal RJ, van den Bemt PML, Kosterink JGW, Vermeulen KM, Haaijer-Ruskamp FM
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Aug2010
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2010
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      pub: Wiley-Blackwell
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        10.1111/j.1365-2753.2009.01187.x
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        atl: Computerized physician order entry (CPOE) system: expectations and experiences of users.
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        au:
          van Doormaal JE
          Mol PGM
          Zaal RJ
          van den Bemt PML
          Kosterink JGW
          Vermeulen KM
          Haaijer-Ruskamp FM
        affil: University Medical Center Groningen, Department of Hospital and Clinical Pharmacy, PO Box 30001, 9700 RB Groningen, The Netherlands. E-mail: j.e.van.doormaal@apoth.umcg.nl
      sug:
        subj:
          Consumer Satisfaction
          Electronic Order Entry
          Academic Medical Centers
          Chi Square Test
          Convenience Sample
          Data Analysis Software
          Funding Source
          Hospital Units
          Human
          Internal Medicine
          Interviews
          Multicenter Studies
          Netherlands
          Nurse Attitudes
          Physician Attitudes
          Questionnaires
          Summated Rating Scaling
          T-Tests
      ab: Objectives To explore physicians' and nurses' expectations before and experiences after the implementation of a computerized physician order entry (CPOE) system in order to give suggestions for future optimization of the system as well as the implementation process. Method On four internal medicine wards of two Dutch hospitals, 18 physicians and 42 nurses were interviewed to measure expectations and experiences with the CPOE system. Using semi-structured questionnaires, expectations and experiences of physicians and nurses with the CPOE system were measured with statements on a 5-point Likert scale (1 = completely disagree, 5 = completely agree). The percentage respondents agreeing (score of 4 or 5) was calculated. Chi-squared tests were used to compare the expectations versus experiences of physicians and nurses and to assess the differences between physicians and nurses. Results In general, both physicians and nurses were positive about CPOE before and after the implementation of this system. Physicians and nurses did not differ in their views towards CPOE except for the overview of patients' medication use that was not clear according to the nurses. Both professions were satisfied with the implementation process. CPOE could be improved especially with respect to technical aspects (including the medication overview) and decision support on drug-drug interactions. Conclusion Overall we conclude that physicians and nurses are positive about CPOE and the process of its implementation and do accept these systems. However, these systems should be further improved to fit into clinical practice.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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