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Perceptions of house officers who use physician order entry
J S Ash1, P N Gorman, W R Hersh
1Division of Medical Informatics and Outcomes Research, School of Medicine Oregon Health Sciences University, Portland, USA.
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.