[Is the ICU staff satisfied with the computerized physician order entry? A cross-sectional survey study].
OBJECTIVE
To evaluate the satisfaction of the intensive care unit staff with a computerized physician order entry and to compare the concept of the computerized physician order entry relevance among intensive care unit healthcare workers.


METHODS
We performed a cross-sectional survey to assess the satisfaction of the intensive care unit staff with the computerized physician order entry in a 30-bed medical/surgical adult intensive care unit using a self-administered questionnaire. The questions used for grading satisfaction levels were answered according to a numerical scale that ranged from 1 point (low satisfaction) to 10 points (high satisfaction).


RESULTS
The majority of the respondents (n=250) were female (66%) between the ages of 30 and 35 years of age (69%). The overall satisfaction with the computerized physician order entry scored 5.74±2.14 points. The satisfaction was lower among physicians (n=42) than among nurses, nurse technicians, respiratory therapists, clinical pharmacists and diet specialists (4.62±1.79 versus 5.97±2.14, p<0.001); satisfaction decreased with age (p<0.001). Physicians scored lower concerning the potential of the computerized physician order entry for improving patient safety (5.45±2.20 versus 8.09±2.21, p<0.001) and the ease of using the computerized physician order entry (3.83±1.88 versus 6.44±2.31, p<0.001). The characteristics independently associated with satisfaction were the system's user-friendliness, accuracy, capacity to provide clear information, and fast response time.


CONCLUSIONS
Six months after its implementation, healthcare workers were satisfied, albeit not entirely, with the computerized physician order entry. The overall users' satisfaction with computerized physician order entry was lower among physicians compared to other healthcare professionals. The factors associated with satisfaction included the belief that digitalization decreased the workload and contributed to the intensive care unit quality with a user-friendly and accurate system and that digitalization provided concise information within a reasonable time frame.
Unidade de Terapia Intensiva para Adultos, Hospital Sírio-Libanês, São Paulo, SP, Brasil.
Renata Rego Lins
RR
Fumis
Unidade de Terapia Intensiva para Adultos, Hospital Sírio-Libanês, São Paulo, SP, Brasil.
Eduardo Leite Vieira
EL
Costa
Unidade de Terapia Intensiva para Adultos, Hospital Sírio-Libanês, São Paulo, SP, Brasil.
Paulo Sergio
PS
Martins
Unidade de Terapia Intensiva para Adultos, Hospital Sírio-Libanês, São Paulo, SP, Brasil.
Vladimir
V
Pizzo
Unidade de Terapia Intensiva para Adultos, Hospital Sírio-Libanês, São Paulo, SP, Brasil.
Ivens Augusto
IA
Souza
Unidade de Terapia Intensiva para Adultos, Hospital Sírio-Libanês, São Paulo, SP, Brasil.
Guilherme de Paula Pinto
Gde P
Schettino
D000328:Adult; D001291:Attitude of Health Personnel; D001292:Attitude to Computers; D003430:Cross-Sectional Studies; D005260:Female; D006282:Health Personnel / Q000523:psychology / Q000706:statistics & numerical data*; D006801:Humans; D007362:Intensive Care Units; D008297:Male; D050316:Medical Order Entry Systems; D011795:Surveys and Questionnaires