Computerized physician order entry (CPOE) system: expectations and experiences of users.

Area of Science:

• Health Informatics
• Clinical Systems Implementation
• Healthcare Technology Adoption

Background:

• Computerized Physician Order Entry (CPOE) systems are increasingly adopted in healthcare settings.
• Understanding user expectations and experiences is crucial for successful system implementation and optimization.

Purpose of the Study:

• To evaluate physicians' and nurses' expectations and experiences with a CPOE system.
• To provide recommendations for optimizing CPOE systems and their implementation processes.

Main Methods:

• Semi-structured interviews and questionnaires with 18 physicians and 42 nurses across two Dutch hospitals.
• Utilized a 5-point Likert scale to measure expectations and experiences.
• Chi-squared tests were employed for comparative analysis.

Main Results:

• Both physicians and nurses reported positive overall expectations and experiences with CPOE.
• No significant differences in views between physicians and nurses, except for nurses finding the medication overview unclear.
• Satisfaction with the implementation process was high; areas for improvement include technical aspects and decision support for drug-drug interactions.

Conclusions:

• Physicians and nurses demonstrate acceptance of CPOE systems and their implementation.
• Continuous improvement of CPOE systems is necessary to better align with clinical practice needs.