Involving users in the implementation of an imaging order entry system

Area of Science:

• Health Informatics
• Medical Imaging Systems
• Clinical Workflow Optimization

Background:

• Computerized physician order entry (CPOE) is integral to hospital information systems.
• Current imaging order entry systems may not align with clinical work patterns, causing user resistance.
• Clinician burden and learning curves for new systems can impede adoption.

Purpose of the Study:

• To describe a step-by-step implementation process for an imaging order entry system.
• To demonstrate the development of specialized menus tailored for a specific clinical service (orthopedics).
• To address and mitigate clinician opposition to adopting new ordering systems.

Main Methods:

• Collaborative design approach engaging clinical services.
• Development of customized imaging order entry menus for an orthopedic service.
• A nine-step implementation process: personnel identification, system familiarization, dialogue, problem-solving, education, initial rollout, feedback, time study demonstration, and ongoing enhancement.

Main Results:

• A structured process for implementing a tailored imaging order entry system was successfully applied.
• Customized menus were developed for the orthopedic service, addressing specific procedural needs.
• The implementation strategy aimed to foster acceptance and integrate the system into clinical practice.

Conclusions:

• Cooperative design and customization of imaging order entry systems can enhance clinician engagement.
• Specialized menus improve usability and address the unique workflow patterns of clinical services.
• This implementation model offers a strategy for overcoming resistance and optimizing the use of CPOE in healthcare settings.