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Assessing the implementation process
Successful implementation of provider order entry systems is key for realizing benefits from computerized patient record systems. Monitoring the implementation process, focusing on breadth, depth, and quality of use, is crucial for adoption.
Area of Science:
- Health Informatics
- Information Systems Implementation
- Technology Adoption in Healthcare
Background:
- Computerized Patient Record Systems (CPRS) offer significant potential to improve healthcare outcomes.
- However, realizing these benefits hinges on the successful implementation of provider order entry (POE) systems.
- Existing literature indicates that even usable and effective systems face adoption challenges.
Purpose of the Study:
- To report a methodology for assessing the successful implementation of a provider order entry system.
- To evaluate the diffusion of a hospital information system within a healthcare setting.
Main Methods:
- Adoption of a model of information technology diffusion (Fichman, 1994; Ash, 1997).
- Characterization of diffusion by breadth (infusion), depth (diffusion), and quality (appropriateness of use).
- Development of specific measures to quantify infusion and diffusion of a hospital information system.
Main Results:
- The study outlines a framework for measuring the success of POE system implementation.
- It emphasizes the importance of process adaptation alongside system implementation.
- Specific metrics are proposed to assess the extent and quality of system integration.
Conclusions:
- Successful implementation of POE systems requires more than just system usability; it depends on adapting care processes.
- Monitoring the implementation process is essential to ensure successful adoption and maximize benefits.
- The proposed methodology provides a structured approach to assess and guide POE system implementation.
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