Computerized Provider Order Entry Adoption: Implications for Clinical Workflow - Journal of General Internal Medicine

Clicks: 137
ID: 268633
2008
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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.
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campbell2008journalcomputerized Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Emily M. Campbell;Kenneth P. Guappone;Dean F. Sittig;Richard H. Dykstra;Joan S. Ash;Emily M. Campbell;Kenneth P. Guappone;Dean F. Sittig;Richard H. Dykstra;Joan S. Ash;
Journal Journal of General Internal Medicine
Year 2008
DOI
doi:10.1007/s11606-008-0857-9
URL
https://dx.doi.org/10.1007/s11606-008-0857-9
Keywords
internal medicine

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