Adding insight: a qualitative cross-site study of physician order entry.
The research questions, strategies, and results of a six-year qualitative study of computerized physician order entry implementation (CPOE) at successful sites are reviewed over time. The iterative nature of qualitative inquiry stimulates a consecutive stream of research foci which, with each iteration, add further insight into the overarching research question. A multidisciplinary team of researchers studied CPOE implementation in four organizations using a multi-method approach to address the question "what are the success factors for implementing CPOE?" Four major themes emerged after studying three sites; ten themes resulted from blending the first results with those from a fourth site; and twelve principles were generated when results of a qualitative analysis of consensus conference transcripts were combined with the field data. The study has produced detailed descriptions of factors related to CPOE success and insight into the implementation process.
Ash
Joan S
JS
Oregon Health & Science University, Portland, 97201-3098, USA. ash@ohsu.edu
Sittig
Dean F
DF
Seshadri
Veena
V
Dykstra
Richard H
RH
Carpenter
James D
JD
Stavri
P Zoe
PZ
D003625:Data Collection; D006284:Health Plan Implementation; D006751:Hospital Information Systems / Q000706:statistics & numerical data / Q000639:trends; D006764:Hospitals, Community / Q000458:organization & administration; D006784:Hospitals, Teaching / Q000458:organization & administration; D019300:Medical Errors; D016347:Medical Records Systems, Computerized / Q000706:statistics & numerical data / Q000639:trends; D008510:Medication Systems, Hospital; D015279:Organizational Culture; D009936:Organizational Innovation; D010820:Physicians; D014481:United States; D014584:User-Computer Interface