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Comparative Study
. 2013 Mar-Apr;20(2):252-9.
doi: 10.1136/amiajnl-2012-001114. Epub 2012 Oct 25.

Changes in end-user satisfaction with Computerized Provider Order Entry over time among nurses and providers in intensive care units

Peter L T Hoonakker  1 , Pascale Carayon, Roger L Brown, Randi S Cartmill, Tosha B Wetterneck, James M Walker
Affiliations
Comparative Study

Changes in end-user satisfaction with Computerized Provider Order Entry over time among nurses and providers in intensive care units

Peter L T Hoonakker et al. J Am Med Inform Assoc. 2013 Mar-Apr.

Abstract

Background: Implementation of Computerized Provider Order Entry (CPOE) has many potential advantages. Despite the potential benefits of CPOE, several attempts to implement CPOE systems have failed or met with high levels of user resistance. Implementation of CPOE can fail or meet high levels of user resistance for a variety of reasons, including lack of attention to users' needs and the significant workflow changes required by CPOE. User satisfaction is a critical factor in information technology implementation. Little is known about how end-user satisfaction with CPOE changes over time.

Objective: To examine ordering provider and nurse satisfaction with CPOE implementation over time.

Methods: We conducted a repeated cross-sectional questionnaire survey in four intensive care units of a large hospital. We analyzed the questionnaire data as well as the responses to two open-ended questions about advantages and disadvantages of CPOE.

Results: Users were moderately satisfied with CPOE and there were interesting differences between user groups: ordering providers and nurses. User satisfaction with CPOE did not change over time for providers, but it did improve significantly for nurses. Results also show that nurses and providers are satisfied with different aspects of CPOE.

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Figures

Figure 1
Figure 1
End user satisfaction (scale) by group (nurses vs providers) and round of data collection (R1 vs R2). POESUS, Provider Order Entry User Satisfaction and Usage Survey. This figure is only reproduced in colour in the online version.
Figure 3
Figure 3
Changes in providers’ end-user satisfaction with Computerized Provider Order Entry (CPOE) between R1 and R2 (mean item difference effect sizes).
Figure 2
Figure 2
Changes in nurses’ end-user satisfaction with Computerized Provider Order Entry (CPOE) between R1 and R2 (mean item difference effect sizes).
See this image and copyright information in PMC

References

    1. Cheng CH, Goldstein MK, Geller E, et al. The effects of CPOE on ICU workflow: an observational study. Proc Am Med Inform Assoc Symp 2003;2003:150–4 - PMC - PubMed
    1. Hazlehurst B, McCullen C, Gorman P, et al. How the ICU follows orders: care delivery as a complex system. AMIA 2003;2003:284–8 Washington DC - PMC - PubMed
    1. Paris B, Carayon P, Blosky MA, et al. Safety of the antibiotic medication use process in the intensive care unit. The Human Factors and Ergonomics Society 52nd Annual Meeting. New York: (NY: ): 2008
    1. Bates DW, Leape LL, Cullen DJ, et al. Effect of computerized physician order entry and a team intervention on prevention of serious medication errors. J Am Med Assoc 1998;280:1311–16 - PubMed
    1. Bates DW, Teich JM, Lee J, et al. The impact of computerized physician order entry on medication error prevention. J Am Med Inform Assoc 1999;6:313–21 - PMC - PubMed

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