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Investigating physician order entry in the field: lessons learned in a multi-center study.
1Division of Medical Informatics & Outcomes Research, Oregon Health Sciences University, Portland, OR 97201-3098, USA. ash@ohsu.edu
Studies in Health Technology and Informatics
|October 18, 2001
Summary
Computerized physician order entry (POE) adoption in the U.S. evolved from mail surveys to qualitative studies. Lessons learned highlight implementation factors and economic barriers to widespread POE diffusion.
Area of Science:
- Health Informatics
- Medical Informatics
- Health Services Research
Background:
- The adoption of Computerized Physician Order Entry (POE) systems has been a focus in healthcare research.
- Understanding the evolution of POE implementation and its challenges is crucial for future healthcare technology integration.
Purpose of the Study:
- To review the research progress on Computerized Physician Order Entry (POE) systems.
- To identify lessons learned and future directions for POE implementation based on past studies.
Main Methods:
- Initial research utilized mail surveys to assess POE diffusion in the U.S.
- Subsequent studies employed multiple qualitative methods for in-depth, multi-center investigations.
- Analysis focused on practitioner perspectives and implementation success factors.
Main Results:
- Mail surveys were effective for initial research questions on POE diffusion.
- Qualitative methods revealed diverse positive and negative aspects of POE.
- Hospital economic environments and practitioner relations impact POE adoption.
Conclusions:
- Successful POE implementation requires understanding multiple perspectives and addressing economic factors.
- Past implementation analyses offer guidance for future POE adoption strategies.
- The current economic climate may hinder widespread POE diffusion.