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Related Experiment Videos

Physician satisfaction with two order entry systems.

H J Murff1, J Kannry

  • 1Mount Sinai-NYU Health Systems, New York, New York, USA. hmurff@partners.org

Journal of the American Medical Informatics Association : JAMIA
|August 28, 2001
PubMed
Summary

Physician satisfaction with electronic order entry systems varies significantly. The Computerized Patient Record System (CPRS) showed higher user satisfaction than a commercial system, highlighting the importance of user interface design for physician order entry.

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Area of Science:

  • Health Informatics
  • Medical Informatics
  • Human-Computer Interaction

Background:

  • Following the Institute of Medicine's report on patient safety, physician order entry systems are recommended to reduce medical errors.
  • Successful implementation hinges on user interface design and physician satisfaction.
  • Two prominent order entry systems were evaluated: a commercial product and the Department of Veterans Affairs Computerized Patient Record System (CPRS).

Purpose of the Study:

  • To assess and compare physician satisfaction with the user interface of two different physician order entry systems.
  • To identify factors influencing user satisfaction with electronic health record systems.

Main Methods:

  • A standardized survey instrument was distributed to internal medicine and medicine-pediatrics house staff physicians.

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  • Physicians rated their satisfaction with each system on a 0 to 9 scale.
  • Response rates for the survey were 63% and 64% for the two systems.

    • Main Results:

    • Physicians expressed dissatisfaction with the commercial order entry system, yielding a mean satisfaction score of 3.67.
    • The CPRS demonstrated high user satisfaction, with a mean score of 7.21.
    • Task straightforwardness was the strongest predictor of overall user satisfaction.

    Conclusions:

    • Significant differences in user satisfaction exist between physician order entry systems, indicating variability in usability.
    • The findings underscore the critical role of user interface design in the adoption and effectiveness of electronic health record systems.
    • Further research is recommended to evaluate physician satisfaction with these systems across different institutions.