Perceptions of physician order entry: results of a cross-site qualitative study.
OBJECTIVE
To identify perspectives of success factors for implementing computerized physician order entry (POE) in the inpatient setting.


METHODS
Qualitative study by a multidisciplinary team using data from observation, focus groups, and both formal and informal interviews. Data were analyzed using a grounded approach to develop a taxonomy of patterns and themes from the transcripts and field notes.


RESULTS
A taxonomy of ten high level themes was developed, including 1) separating POE from other processes, 2) terms, concepts, and connotations, 3) context, 4) tradeoffs, 5) conflicts and contradictions, 6) collaboration and trust, 7) leaders and bridgers, 8) the organization of information, 9) the ongoing nature of implementation, and 10) temporal concerns.


CONCLUSIONS
The identified success factors indicate that POE implementation is an iterative and difficult process, but informants perceive it is worth the effort.
Ash
J S
JS
Division of Medical informatics and Outcomes Research School of Medicine, Oregon Health & Science University 3181 SW Sam Jackson Park Road Partland, OR 97201-3098, USA. ash@Ohsu.edu
Gorman
P N
PN
Lavelle
M
M
Stavri
P Z
PZ
Lyman
J
J
Fournier
L
L
Carpenter
J
J
D001292:Attitude to Computers; D020000:Decision Support Systems, Clinical; D006801:Humans; D016347:Medical Records Systems, Computerized; D017146:Models, Organizational; D016730:Program Development / Q000379:methods* / Q000592:standards; D036301:Qualitative Research; D014584:User-Computer Interface