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User satisfaction with computerized order entry system and its effect on workplace level of stress
Nasrollah Ghahramani1, Irina Lendel, Rehan Haque
1Department of Internal Medicine, Division of Nephrology, H040, Penn State College of Medicine, 500 University Drive, P.O. Box 850, Hershey, PA 17033-0850, USA. nghahramani@psu.edu
Journal of Medical Systems
|May 5, 2009
Summary
Computerized Provider Order Entry (CPOE) systems can increase user satisfaction with early and continuous training. Familiarity and frequent use improve CPOE adoption, reducing stress and enhancing healthcare efficiency.
Area of Science:
- Health Informatics
- Medical Education
- Healthcare Management
Background:
- Computerized Provider Order Entry (CPOE) implementation is a significant technological shift in healthcare.
- Assessing the impact of CPOE on healthcare professionals' job performance and stress is crucial for successful adoption.
- Understanding user perceptions across different professional roles is key to optimizing CPOE systems.
Purpose of the Study:
- To evaluate the impact of CPOE on workplace stress and job performance.
- To assess the perceptions of medical students, housestaff, attending physicians, and nurses regarding CPOE.
- To identify factors influencing user satisfaction and identify areas for CPOE system improvement.
Main Methods:
- An online survey was administered to 862 healthcare professionals at an academic tertiary care facility post-CPOE implementation.
- Data collection focused on perceived stress levels and job performance.
- Statistical analyses were performed using SAS to evaluate user attitudes and system impact.
Main Results:
- Younger age groups and those with prior CPOE experience reported higher familiarity, more frequent use, and greater satisfaction.
- Interns and residents showed the highest satisfaction, while attending physicians reported the least.
- Attending physicians and fellows perceived CPOE as less user-friendly, experiencing more stress and frustration.
Conclusions:
- User satisfaction with CPOE is positively correlated with system familiarity and frequent usage.
- Improving system design, clarity, and providing continuous, user-specific training can enhance satisfaction and reduce stress.
- Early integration of CPOE training into medical and nursing curricula is recommended to foster adoption and improve efficiency and safety.
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