title: Overcoming the barriers to the implementing computerized physician order entry systems in US hospitals: perspectives from senior management.
abstract: We sought to identify the barriers to CPOE implementation and the strategies for overcoming them. By analyzing 57 transcripts of interviews with management officials at 25 US hospitals, we identified costs and physician resistance as the two most significant barriers. Hospitals often overcome the high cost of CPOE implementation by placing patient safety at the top of their agenda. Other hospitals manage physician resistance by leveraging strong leadership, external influence, vendor commitment and the presence of house staff and hospitalists. Efforts to promote the adoption of CPOE should therefore focus on these strategies.
authors.affiliation: Brigham and Women's Hospital, Boston, MA, USA.
authors.forename: Eric G
authors.initials: EG
authors.lastname: Poon
authors.forename: David
authors.initials: D
authors.lastname: Blumenthal
authors.forename: Tonushree
authors.initials: T
authors.lastname: Jaggi
authors.forename: Melissa M
authors.initials: MM
authors.lastname: Honour
authors.forename: David W
authors.initials: DW
authors.lastname: Bates
authors.forename: Rainu
authors.initials: R
authors.lastname: Kaushal
mesh_terms: D003365:Costs and Cost Analysis; D006739:Hospital Administration; D006751:Hospital Information Systems; D006801:Humans; D016347:Medical Records Systems, Computerized / Q000191:economics; D008508:Medication Errors / Q000517:prevention & control; D008510:Medication Systems, Hospital / Q000191:economics; D009936:Organizational Innovation; D010820:Physicians; D014481:United States