ArticleJournal of the American Medical Informatics Association : JAMIA
The effect of physicians' long-term use of CPOE on their test management work practices.
Article in Journal of the American Medical Informatics Association : JAMIA. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.
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Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- STARE-HI - Statement on Reporting of Evaluation Studies in Health Informatics: explanation and elaboration.Applied clinical informatics · 2013Guideline
- The safety implications of missed test results for hospitalised patients: a systematic review.BMJ quality & safety · 2011Pooled it
- Emergency Physician Use of the Alberta Netcare Portal, a Province-Wide Interoperable Electronic Health Record: Multi-Method Observational Study.JMIR medical informatics · 2018Article
- Failure to review STAT clinical laboratory requests and its economical impact.Biochemia medica · 2016Article
- Article
- The Impact for Patient Outcomes of Failure to Follow Up on Test Results. How Can We Do Better?EJIFCC · 2015Article
- Test result communication in primary care: clinical and office staff perspectives.Family practice · 2014Article
- Can utilizing a computerized provider order entry (CPOE) system prevent hospital medical errors and adverse drug events?Perspectives in health information managemen · 2014Article
- Evaluating the impact of electronic health records on nurse clinical process at two community health sites.NI 2012 : 11th International Congress on Nursing Informatics, June 23-27, 2012, Montreal, Canada. International Congress in Nursing Informatics (11th : 2012 : Montreal, Quebec) · 2012Article
- Characteristics and effects of nurse dosing over-rides on computer-based intensive insulin therapy protocol performance.Journal of the American Medical Informatics Association : JAMIA · 2011Article
- CPOE in Non-Surgical Versus Surgical Specialties: A Qualitative Comparison of Clinical Contexts in the Medication Process.The open medical informatics journal · 2010Article
- Use of information and communication technologies to support effective work practice innovation in the health sector: a multi-site study.BMC health services research · 2009Article
- Implementation of computerised physician order entry (CPOE) and picture archiving and communication systems (PACS) in the NHS: quantitative before and after study.BMJ (Clinical research ed.) · 2008Article
- Impact of an electronic medication management system on hospital doctors' and nurses' work: a controlled pre-post, time and motion study.Journal of the American Medical Informatics Association : JAMIAArticle
- Lessons learned from the introduction of an electronic safety net to enhance test result management in an Australian mothers' hospital.Journal of the American Medical Informatics Association : JAMIAArticle
- Contextual implementation model: a framework for assisting clinical information system implementations.Journal of the American Medical Informatics Association : JAMIAArticle
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo explore physicians' work practices in relation to their long-term use of a computerized physician order entry system (CPOE).
designA cross-sectional qualitative study was conducted in four clinical units in two large Australian teaching hospitals. One hospital had used CPOE for over 10 years to order all clinical laboratory and radiology tests and view test results and the other had used the computerized viewing facility of the system for over seven years with tests ordered manually. Data were collected by non-participatory observations of physicians (55 sessions) and 28 interviews. MEASUREMENTS: Content analysis of the observation field notes, reflections on observations and interview transcripts were conducted by two researchers independently. A thematic grounded theory approach was used to derive key themes that would explain physicians work practices associated with CPOE use.
resultsThree themes relating to physicians' established use of CPOE were identified: (1) the effect of the hospital and clinical environment; (2) changes to work practices; and (3) physicians' management of information. Physicians' test management work practices using CPOE were related to diversity between: the hospitals; the clinical units' environment, and the users of the system.
conclusionHospitals need to understand and analyze physicians' test management work practices prior to and during the implementation of CPOE to accommodate their diverse ways of working with computerized information systems. In the current mixed media environment, physicians' use of manual and computerized information systems for sourcing and recording information impacts on efficiency and patient safety.
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