ArticleHealth services research2017
Sustained User Engagement in Health Information Technology: The Long Road from Implementation to System Optimization of Computerized Physician Order Entry and Clinical Decision Support Systems for Prescribing in Hospitals in England.
Article in Health services research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
29 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Exploring the role of professional identity in the implementation of clinical decision support systems-a narrative review.Implementation science : IS · 2024Pooled it
- The impact of health information technology on prescribing errors in hospitals: a systematic review and behaviour change technique analysis.Systematic reviews · 2020Pooled it
- How do stakeholders experience the adoption of electronic prescribing systems in hospitals? A systematic review and thematic synthesis of qualitative studies.BMJ quality & safety · 2019Pooled it
- A Systematic Review of Factors Affecting Utilization of Decision Support Systems: The Interplay Between Technology, Users, and the Healthcare Environment.Health science reports · 2026Review
- Improving Discrete Documentation of Cancer Staging-An Alert-Free Approach.Applied clinical informatics · 2025Article
- Opportunities and Challenges Associated with the Pilot Implementation of Clinical Decision Support Systems in a Rural Hospital: A Qualitative Study.Applied clinical informatics · 2025Article
- Factors Influencing the Implementation of a Multispecialty Virtual Ward Program in the United Kingdom: Qualitative Exploration of Staff Experiences and Perspectives.Journal of medical Internet research · 2025Article
- Acceptance of Innovative Technologies Among Healthcare Professionals-A Cross-Sectional Study.Nursing & health sciences · 2025Article
- A systematic review of clinicians' acceptance and use of clinical decision support systems over time.NPJ digital medicine · 2025Article
- Article
- Allied Health Professionals' Perceptions of Artificial Intelligence in the Clinical Setting: Cross-Sectional Survey.JMIR formative research · 2024Article
- Implementation of Computerized Prescriber Order Entry Systems: A Review of Impacts, Barriers, and Facilitators.The Journal of pharmacy technology : jPT : official publication of the Association of Pharmacy Technicians · 2024Review
- Applying the Non-Adoption, Abandonment, Scale-up, Spread, and Sustainability Framework Across Implementation Stages to Identify Key Strategies to Facilitate Clinical Decision Support System Integration Within a Large Metropolitan Health Service: Interview and Focus Group Study.JMIR medical informatics · 2024Article
- Adoption by clinicians of electronic order communications in NHS secondary care: a descriptive account.BMJ health & care informatics · 2024Article
- Factors Influencing Integration and Usability of Model-Informed Precision Dosing Software in the Intensive Care Unit.Applied clinical informatics · 2024Article
- Enhancing access to primary care is critical to the future of an equitable health service: using process visualisation to understand the impact of national policy in the UK.Frontiers in health services · 2024Article
- Maintaining a medical institution in a context of materiality change: Lessons from a Canadian university hospital.Health (London, England : 1997) · 2023Article
- Identifying barriers and facilitators to successful implementation of computerized clinical decision support systems in hospitals: a NASSS framework-informed scoping review.Implementation science : IS · 2023Article
- Barriers and Opportunities for the Use of Digital Tools in Medicines Optimization Across the Interfaces of Care: Stakeholder Interviews in the United Kingdom.JMIR medical informatics · 2023Article
- Deploying digital health tools within large, complex health systems: key considerations for adoption and implementation.NPJ digital medicine · 2022Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
objectiveTo explore and understand approaches to user engagement through investigating the range of ways in which health care workers and organizations accommodated the introduction of computerized physician order entry (CPOE) and computerized decision support (CDS) for hospital prescribing. STUDY
settingSix hospitals in England, United Kingdom. STUDY
designQualitative case study. DATA COLLECTION: We undertook qualitative semi-structured interviews, non-participant observations of meetings and system use, and collected organizational documents over three time periods from six hospitals. Thematic analysis was initially undertaken within individual cases, followed by cross-case comparisons.
findingsWe conducted 173 interviews, conducted 24 observations, and collected 17 documents between 2011 and 2015. We found that perceived individual and safety benefits among different user groups tended to facilitate engagement in some, while other less engaged groups developed resistance and unsanctioned workarounds if systems were perceived to be inadequate. We identified both the opportunity and need for sustained engagement across user groups around system enhancement (e.g., through customizing software) and the development of user competencies and effective use.
conclusionsThere is an urgent need to move away from an episodic view of engagement focused on the preimplementation phase, to more continuous holistic attempts to engage with and respond to end-users.
Indexed as
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.