Multiple perspectives on physician order entry.
OBJECTIVE
Describe the complex interplay of perspectives of physicians, administrators, and information technology staff regarding computerized physician order entry (POE) in hospitals.


METHODS
Linstone's Multiple Perspectives Model provided a framework for organizing the results of a qualitative study done at four sites. Data from observation, focus groups, and formal and informal interviews were analyzed by four researchers using a grounded approach.


RESULTS
It is not a simple matter of physicians hating POE and others loving it. The issues involved are both complex and emotional. All groups see both positive and negative aspects of POE.


CONCLUSIONS
The Multiple Perspectives Model was useful for organizing a description to aid in understanding all points of view. It is imperative that those implementing POE understand all views and plan implementation strategies accordingly.
Ash
J S
JS
Division of Medical Informatics and Outcomes Research, School of Medicine, Oregon Health Sciences University, Portland, Oregon, USA.
Gorman
P N
PN
Lavelle
M
M
Lyman
J
J
D001291:Attitude of Health Personnel; D001292:Attitude to Computers; D020000:Decision Support Systems, Clinical / Q000458:organization & administration; D006739:Hospital Administration; D006751:Hospital Information Systems / Q000458:organization & administration; D006801:Humans; D007400:Interprofessional Relations; D016347:Medical Records Systems, Computerized; D017146:Models, Organizational; D015279:Organizational Culture; D010564:Personnel, Hospital / Q000523:psychology*; D010820:Physicians / Q000523:psychology; D013813:Therapy, Computer-Assisted