title: A comparison of the impact of CPOE implementation and organizational determinants on doctor-nurse communications and cooperation.
abstract: OBJECTIVE
  To compare the impact of CPOE implementation and of the workplace organizational determinants on the doctor-nurse cooperation and communication processes.
  
  
  METHODS
  A first study was undertaken in eight different wards aimed to identify the different workplace organizations that support doctor-nurse communications'. A second study compared the impact of these organizations and of a CPOE on medication-related doctor-nurse communications.
  
  
  RESULTS
  The doctor-nurse communications could be structured into three typical workplace organizations: the common round, the briefing and the opportunistic exchange organizations. The results (i) confirmed the impact of the organizational determinants on the cooperative activities and (ii) demonstrated the CPOE system has no significant impact within a given workplace organization.
  
  
  CONCLUSIONS
  The success of the implementation of HIT applications relies partly on the identification of the actual (and sometimes hidden) structuring variables of teamwork and ultimately on their control at the time of implementation to ensure the quality and safety of the patient care provided.
authors.affiliation: Université Lille Nord de France, EVALAB-INSERM CIC IT Lille, UDSL, EA2694, CHU Lille, F-59000 Lille, France. Electronic address: sylvia.pelayo@univ-lille2.fr.
authors.forename: Sylvia
authors.initials: S
authors.lastname: Pelayo
authors.forename: Françoise
authors.initials: F
authors.lastname: Anceaux
authors.forename: Janine
authors.initials: J
authors.lastname: Rogalski
authors.forename: Peter
authors.initials: P
authors.lastname: Elkin
authors.forename: Marie-Catherine
authors.initials: MC
authors.lastname: Beuscart-Zephir
mesh_terms: D003142:Communication; D003299:Cooperative Behavior; D006801:Humans; D050316:Medical Order Entry Systems / Q000458:organization & administration*; D008508:Medication Errors / Q000517:prevention & control*; D008510:Medication Systems, Hospital / Q000458:organization & administration*; D009726:Nurses; D019555:Physician-Nurse Relations; D010820:Physicians