title: Adding insight: a qualitative cross-site study of physician order entry.
abstract: 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.
authors.affiliation: Oregon Health & Science University, Portland, 97201-3098, USA. ash@ohsu.edu
authors.forename: Joan S
authors.initials: JS
authors.lastname: Ash
authors.forename: Dean F
authors.initials: DF
authors.lastname: Sittig
authors.forename: Veena
authors.initials: V
authors.lastname: Seshadri
authors.forename: Richard H
authors.initials: RH
authors.lastname: Dykstra
authors.forename: James D
authors.initials: JD
authors.lastname: Carpenter
authors.forename: P Zoe
authors.initials: PZ
authors.lastname: Stavri
mesh_terms: 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