title: Ambulatory computerized physician order entry implementation.
abstract: As part of broader effort to identify success factors for implementing computerized physician order entry(CPOE), factors specific to the ambulatory setting were investigated in the field at Kaiser Permanente Northwest. A multidisciplinary team of five qualitative researchers spent seven months at four clinics conducting observations, interviews, and focus groups. The team analyzed the data using a combination of template and grounded theory approaches. The result is a description of fourteen themes, clustered into technology, organizational,personal, and environmental categories. While similar to inpatient study results in many respects,this outpatient CPO investigation generated subtly different themes.
authors.affiliation: Department of Medical Informatics and Clinical Epidemiology, School of Medicine, Oregon Health & Science University, Portland, OR, USA.
authors.forename: Joan S
authors.initials: JS
authors.lastname: Ash
authors.forename: Homer L
authors.initials: HL
authors.lastname: Chin
authors.forename: Dean F
authors.initials: DF
authors.lastname: Sittig
authors.forename: Richard H
authors.initials: RH
authors.lastname: Dykstra
mesh_terms: D000555:Ambulatory Care Information Systems; D001292:Attitude to Computers; D016494:Computer Security; D006279:Health Maintenance Organizations / Q000458:organization & administration; D006284:Health Plan Implementation; D006801:Humans; D050316:Medical Order Entry Systems / Q000191:economics