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Computerized provider order entry adoption: implications for clinical workflow.
- Source :
- JGIM: Journal of General Internal Medicine; Jan2009, Vol. 24 Issue 1, p21-26, 6p, 2 Charts
- Publication Year :
- 2009
-
Abstract
- <bold>Objective: </bold>To identify and describe unintended adverse consequences related to clinical workflow when implementing or using computerized provider order entry (CPOE) systems.<bold>Methods: </bold>We analyzed qualitative data from field observations and formal interviews gathered over a three-year period at five hospitals in three organizations. Five multidisciplinary researchers worked together to identify themes related to the impacts of CPOE systems on clinical workflow.<bold>Results: </bold>CPOE systems can affect clinical work by 1) introducing or exposing human/computer interaction problems, 2) altering the pace, sequencing, and dynamics of clinical activities, 3) providing only partial support for the work activities of all types of clinical personnel, 4) reducing clinical situation awareness, and 5) poorly reflecting organizational policy and procedure.<bold>Conclusions: </bold>As CPOE systems evolve, those involved must take care to mitigate the many unintended adverse effects these systems have on clinical workflow. Workflow issues resulting from CPOE can be mitigated by iteratively altering both clinical workflow and the CPOE system until a satisfactory fit is achieved. [ABSTRACT FROM AUTHOR]
- Subjects :
- ORDER entry
DATA entry
WORKFLOW
HOSPITALS
RESEARCH
ATTITUDE (Psychology)
COMPARATIVE studies
COMPUTERS
INFORMATION storage & retrieval systems
MEDICAL databases
RESEARCH methodology
MEDICAL care
MEDICAL cooperation
MEDICAL personnel
MEDICAL records
RESEARCH funding
EMPLOYEES' workload
EVALUATION research
Subjects
Details
- Language :
- English
- ISSN :
- 08848734
- Volume :
- 24
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- JGIM: Journal of General Internal Medicine
- Publication Type :
- Academic Journal
- Accession number :
- 35833664
- Full Text :
- https://doi.org/10.1007/s11606-008-0857-9