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Adding insight: a qualitative cross-site study of physician order entry
Joan S Ash1, Dean F Sittig, Veena Seshadri
1Oregon Health and Science University, School of Medicine, BICC, Department of Medical Informatics and Clinical Epidemiology, 3181 SW Sam Jackson Park Road, Portland, OR 97201-3098, USA. ash@ohsu.edu
International Journal of Medical Informatics
|June 21, 2005
Summary
This 7-year study identified key success factors for implementing computerized physician order entry (CPOE). Findings offer insights into the iterative process of CPOE adoption in healthcare organizations.
Area of Science:
- Health Informatics
- Information Systems Research
- Qualitative Health Research
Background:
- Computerized Physician Order Entry (CPOE) implementation is complex.
- Understanding success factors is crucial for effective adoption.
- Previous research has not fully captured the iterative nature of CPOE implementation.
Purpose of the Study:
- To identify critical success factors for CPOE implementation.
- To explore the evolving research questions during a long-term study.
- To provide insights into the multi-stage process of CPOE adoption.
Main Methods:
- A 7-year qualitative study using a multi-method approach.
- Involved four organizations with successful CPOE implementation.
- Iterative data collection and analysis over multiple research foci.
Main Results:
- Initial study of three sites yielded four major themes.
- Inclusion of a fourth site expanded findings to ten themes.
- Integration with consensus conference data generated twelve principles.
Conclusions:
- Detailed descriptions of CPOE success factors were developed.
- Significant insights into the CPOE implementation process were gained.
- The iterative qualitative approach enhanced understanding of complex system adoption.