title: Physicians' and Nurses' Opinions about the Impact of a Computerized Provider Order Entry System on Their Workflow.
abstract: BACKGROUND
  In clinical practices, the use of information technology, especially computerized provider order entry (CPOE) systems, has been found to be an effective strategy to improve patient care. This study aimed to compare physicians' and nurses' views about the impact of CPOE on their workflow.
  
  
  METHODS
  This case study was conducted in 2012. The potential participants included all physicians (n = 28) and nurses (n = 145) who worked in a teaching hospital. Data were collected using a five-point Likert-scale questionnaire and were analyzed using SPSS version 18.0.
  
  
  RESULTS
  The results showed a significant difference between physicians' and nurses' views about the impact of the system on interorganizational workflow (p = .001) and working relationships between physicians and nurses (p = .017).
  
  
  CONCLUSIONS
  Interorganizational workflow and working relationships between care providers are important issues that require more attention. Before a CPOE system is designed, it is necessary to identify workflow patterns and hidden structures to avoid compromising quality of care and patient safety.
authors.affiliation: Haleh Ayatollahi, MSc, PhD, is an assistant professor of medical informatics at the Iran University of Medical Sciences in Tehran, Iran.
authors.forename: Haleh
authors.initials: H
authors.lastname: Ayatollahi
authors.affiliation: Masoud Roozbehi, MSc, is a medical records specialist at the Yasuj University of Medical Sciences in Yasuj, Iran.
authors.forename: Masoud
authors.initials: M
authors.lastname: Roozbehi
authors.affiliation: Hamid Haghani, MSc, is a lecturer in the Mathematics and Statistics Department at the Iran University of Medical Sciences in Tehran, Iran.
authors.forename: Hamid
authors.initials: H
authors.lastname: Haghani
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D001292:Attitude to Computers; D005260:Female; D006744:Hospital Bed Capacity, 100 to 299; D006784:Hospitals, Teaching; D006801:Humans; D008297:Male; D050316:Medical Order Entry Systems; D009741:Nursing Staff, Hospital / Q000523:psychology*; D061214:Patient Safety; D010820:Physicians / Q000523:psychology*; D057188:Workflow
keywords: clinical staff; computerized provider order entry system; workflow