Computerized Provider Order Entry Adoption: Implications for Clinical Workflow

ABSTRACT OBJECTIVE To identify and describe unintended adverse consequences related to clinical workflow when implementing or using computerized provider order entry (CPOE) systems. METHODS We analyzed qualitative data from field observations and formal interviews gathered over a three-year period a...

Full description

Saved in:
Bibliographic Details
Published in:Journal of general internal medicine : JGIM 2009-01, Vol.24 (1), p.21-26
Main Authors: Campbell, Emily M., Guappone, Kenneth P., Sittig, Dean F., Dykstra, Richard H., Ash, Joan S.
Format: Article
Language:English
Subjects:
Attitude of Health Personnel
Attitude to Computers
Biological and medical sciences
Computerized physician order entry
Delivery of Health Care - statistics & numerical data
Delivery of Health Care - trends
General aspects
Health participants
Hospitals
Hospitals - statistics & numerical data
Hospitals - trends
Humans
Information systems
Internal Medicine
Medical Order Entry Systems - statistics & numerical data
Medical Order Entry Systems - trends
Medical Records Systems, Computerized - statistics & numerical data
Medical Records Systems, Computerized - trends
Medical sciences
Medicine
Medicine & Public Health
Miscellaneous
Original
Original Article
Public health. Hygiene
Public health. Hygiene-occupational medicine
Technology adoption
User interface
Workload
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:ABSTRACT OBJECTIVE To identify and describe unintended adverse consequences related to clinical workflow when implementing or using computerized provider order entry (CPOE) systems. METHODS 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. RESULTS 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. CONCLUSIONS 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.
ISSN:0884-8734
1525-1497
DOI:10.1007/s11606-008-0857-9