Literature DB >> 10566403

Perceptions of house officers who use physician order entry.

J S Ash1, P N Gorman, W R Hersh, M Lavelle, S B Poulsen.   

Abstract

OBJECTIVE: Describe the perceptions of housestaff physicians about their experience using computerized physician order entry (POE) in hospitals.
METHODS: Qualitative study using data from participant observation, focus groups, and both formal and informal interviews. Data were analyzed by three researchers using a grounded approach to identify patterns and themes in the texts.
RESULTS: Six themes were identified, including housestaff education, benefits of POE, problems with POE, feelings about POE, implementation strategies, and the future of POE.
CONCLUSION: House officers felt that POE assists patient care but may undermine education. They found that POE works best when tailored to fit local and individual workflow. Implementation strategies should include mechanisms for engaging housestaff in the decision process.

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Mesh:

Year:  1999        PMID: 10566403      PMCID: PMC2232743     

Source DB:  PubMed          Journal:  Proc AMIA Symp        ISSN: 1531-605X


  9 in total

1.  Physician order entry in U.S. hospitals.

Authors:  J S Ash; P N Gorman; W R Hersh
Journal:  Proc AMIA Symp       Date:  1998

2.  Implementation of physician order entry: user satisfaction and self-reported usage patterns.

Authors:  F Lee; J M Teich; C D Spurr; D W Bates
Journal:  J Am Med Inform Assoc       Date:  1996 Jan-Feb       Impact factor: 4.497

3.  Choosing the best research design for each question.

Authors:  D L Sackett; J E Wennberg
Journal:  BMJ       Date:  1997 Dec 20-27

4.  A randomized trial of "corollary orders" to prevent errors of omission.

Authors:  J M Overhage; W M Tierney; X H Zhou; C J McDonald
Journal:  J Am Med Inform Assoc       Date:  1997 Sep-Oct       Impact factor: 4.497

Review 5.  Computer-based physician order entry: the state of the art.

Authors:  D F Sittig; W W Stead
Journal:  J Am Med Inform Assoc       Date:  1994 Mar-Apr       Impact factor: 4.497

6.  Introducing physician order entry at a major academic medical center: II. Impact on medical education.

Authors:  T A Massaro
Journal:  Acad Med       Date:  1993-01       Impact factor: 6.893

7.  Introducing physician order entry at a major academic medical center: I. Impact on organizational culture and behavior.

Authors:  T A Massaro
Journal:  Acad Med       Date:  1993-01       Impact factor: 6.893

8.  Effect of computer-based alerts on the treatment and outcomes of hospitalized patients.

Authors:  D M Rind; C Safran; R S Phillips; Q Wang; D R Calkins; T L Delbanco; H L Bleich; W V Slack
Journal:  Arch Intern Med       Date:  1994-07-11

9.  Using ethnography to build a working system: rethinking basic design assumptions.

Authors:  D E Forsythe
Journal:  Proc Annu Symp Comput Appl Med Care       Date:  1992
  9 in total
  24 in total

1.  Multiple perspectives on physician order entry.

Authors:  J S Ash; P N Gorman; M Lavelle; J Lyman
Journal:  Proc AMIA Symp       Date:  2000

2.  A diffusion of innovations model of physician order entry.

Authors:  J S Ash; J Lyman; J Carpenter; L Fournier
Journal:  Proc AMIA Symp       Date:  2001

3.  A cross-site qualitative study of physician order entry.

Authors:  Joan S Ash; Paul N Gorman; Mary Lavelle; Thomas H Payne; Thomas A Massaro; Gerri L Frantz; Jason A Lyman
Journal:  J Am Med Inform Assoc       Date:  2003 Mar-Apr       Impact factor: 4.497

4.  Computerized physician order entry systems: is the pharmacist's role justified?

Authors:  Monali Bhosle; Sujit S Sansgiry
Journal:  J Am Med Inform Assoc       Date:  2003-12-07       Impact factor: 4.497

5.  Principles for a successful computerized physician order entry implementation.

Authors:  Joan S Ash; Lara Fournier; P Zoë Stavri; Richard Dykstra
Journal:  AMIA Annu Symp Proc       Date:  2003

6.  Impacts of computerized physician documentation in a teaching hospital: perceptions of faculty and resident physicians.

Authors:  Peter J Embi; Thomas R Yackel; Judith R Logan; Judith L Bowen; Thomas G Cooney; Paul N Gorman
Journal:  J Am Med Inform Assoc       Date:  2004-04-02       Impact factor: 4.497

7.  A power information user (PIU) model to promote information integration in Tennessee's public health community.

Authors:  Nila A Sathe; Patricia Lee; Nunzia Bettinsoli Giuse
Journal:  J Med Libr Assoc       Date:  2004-10

8.  The effect of computerized provider order entry on medical student clerkship experiences.

Authors:  Amy M Knight; Steven J Kravet; G Michael Harper; Bruce Leff
Journal:  J Am Med Inform Assoc       Date:  2005-05-19       Impact factor: 4.497

9.  Adding insight: a qualitative cross-site study of physician order entry.

Authors:  Joan S Ash; Dean F Sittig; Veena Seshadri; Richard H Dykstra; James D Carpenter; P Zoe Stavri
Journal:  Int J Med Inform       Date:  2005-08       Impact factor: 4.046

10.  Ambulatory computerized physician order entry implementation.

Authors:  Joan S Ash; Homer L Chin; Dean F Sittig; Richard H Dykstra
Journal:  AMIA Annu Symp Proc       Date:  2005
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