Field evaluation of commercial Computerized Provider Order Entry systems in community hospitals
- PMID: 18998909
- PMCID: PMC2655948
Field evaluation of commercial Computerized Provider Order Entry systems in community hospitals
Abstract
Computerized Provider Order Entry (CPOE) is an important component of the electronic health record, but there has been some difficulty with user acceptance, and this is often due to poor computer interface usability which disrupts clinician workflow. This qualitative research employed usability engineering methods to study community hospital physicians using commercial CPOE systems while in a naturalistic context. Numerous usability problems were uncovered with this effective technique. Field usability testing should be considered in all institutions implementing CPOE or other clinical computer applications as a means of improving the usability and acceptance of those systems.
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References
-
- Institute of Medicine Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academy Press; 2000.
-
- Kuperman GJ, Gibson RF. Computer physician order entry: benefits, costs, and issues. Annals of Internal Medicine. 2003;139(1):31–9. - PubMed
-
- Poon EG, Blumenthal D, Jaggi T, Honour MM, Bates DW, Kaushal R. Overcoming barriers to adopting and implementing computerized physician order entry systems in U.S. hospitals. Health Affairs. 2004;23(4):184–90. - PubMed
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