Capture and classification of problems during CPOE deployment in an academic pediatric center.
During a planned, rapid deployment of a modified commercial CPOE product to units at an academic pediatric center, problems from users and staff were collected and entered in text format on a commercially available online problem tracking system. Content analysis of 278 collected text reports collected over 3 weeks after the 24-hour rollout period revealed several themes: center-specific implementation problems (45%), transfer-handoff-collaboration problems (14%), missing product functionalities (11%), inadequate training (11%), hardware problems (5%), password problems (4%) and human error (2%). This analysis may prove helpful in future deployments of CPOE in pediatric clinical environments.
Kim
George R
GR
Division of Neonatology, Johns Hopkins Medical Institutions, Baltimore, Maryland, USA.
Miller
Marlene R
MR
Ardolino
Margaret A
MA
Smith
James E
JE
Lee
Dorothy C
DC
Lehmann
Christoph U
CU
D000046:Academic Medical Centers / Q000458:organization & administration; D003200:Computer User Training; D003625:Data Collection; D004868:Equipment Failure; D006776:Hospitals, Pediatric / Q000458:organization & administration*; D006801:Humans; D050316:Medical Order Entry Systems / Q000458:organization & administration*; D009936:Organizational Innovation