Characteristics of CPOE systems and obstacles to implementation that physicians believe will affect adoption.

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Characteristics of CPOE systems and obstacles to implementation that physicians believe will affect adoption.

South Med J. 2011 Jun;104(6):418-21

Authors: Singh D, Spiers S, Beasley BW

Abstract
BACKGROUND: Computerized Physician Order Entry (CPOE) has the potential to decrease medical errors and improve quality. Our health system plans to implement CPOE in response to the ARRA HITECH Act.
OBJECTIVES: To determine (A) physicians' projections of the most important characteristics of a CPOE system that will affect their willingness to adopt CPOE, and (B) the obstacles they foresee in adopting CPOE.
METHODS: All members of our health system's physician quality organization were invited to participate in a confidential survey.
RESULTS: Two hundred twenty-four of 549 (41%) recipients responded to the survey. Respondents ranked "disruption in my work routine" (72%) and "improve efficiency in placing orders" (63%) as the two most important characteristics that would affect their utilization of CPOE. They believed CPOE would enable orders to be placed more efficiently (3.3, sd = 1.2), carried out rapidly (3.4, sd = 0.9), and have fewer errors (3.7, sd = 0.9). The most commonly cited obstacles to CPOE implementation were: Efficiency-Inefficiency (23%), Hardware Availability (12.7%), Computer Restrictions (10.8%), Training (8.8%), Simplicity - Ease of Use (8.5%), and Physician Buy-in (8.1%).
CONCLUSIONS: The majority of physicians believed CPOE would lead to a reduction of medical errors and more efficient patient care. However, physicians are highly concerned with how CPOE will affect their own work efficiency.

PMID: 21886031 [PubMed - indexed for MEDLINE]

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