title: A usability study of CPOE's medication administration functions: impact on physician-nurse cooperation.
abstract: Implementation of CPOE systems in Healthcare Institutions has proven efficient in reducing medication errors but it also induces hidden side-effects on Doctor-Nurse cooperation. We propose a usability engineering approach to this problem. An extensive activity analysis of the medication ordering and administration process was performed in several departments of 3 different hospitals. Two of these hospitals are still using paper-based orders, while the 3rd one is in the roll-out phase of medication functions of its CPOE system. We performed a usability assessment of this CPOE system. The usability assessment uncovered usability problems for the entry of medication administration time scheduling by the physician and revealed that the information can be ambiguous for the nurse. The comparison of cooperation models in both situation shows that users tend to adopt a distributed decision making paradigm in the paper-based situation, while the CPOE system supports a centralized decision making process. This analysis can support recommendation for the re-engineering of the Human-Computer Interface.
authors.affiliation: EVALAB, Faculté de médicine, Lille, France. mcbeuscart@univ-lille2.fr
authors.forename: Marie Catherine
authors.initials: MC
authors.lastname: Beuscart-Zéphir
authors.forename: Sylvia
authors.initials: S
authors.lastname: Pelayo
authors.forename: Patrice
authors.initials: P
authors.lastname: Degoulet
authors.forename: Françoise
authors.initials: F
authors.lastname: Anceaux
authors.forename: Sandra
authors.initials: S
authors.lastname: Guerlinger
authors.forename: Jean-Jacques
authors.initials: JJ
authors.lastname: Meaux
mesh_terms: D001291:Attitude of Health Personnel; D001292:Attitude to Computers; D016303:Clinical Pharmacy Information Systems; D005602:France; D006751:Hospital Information Systems; D006779:Hospitals, Public; D006785:Hospitals, University; D016347:Medical Records Systems, Computerized; D008510:Medication Systems, Hospital; D019555:Physician-Nurse Relations; D013673:Technology Assessment, Biomedical; D014584:User-Computer Interface