A Computerized Order Entry System Was Adopted with High User Satisfaction at an Orthopedic Teaching Hospital
Computerized provider order entry (CPOE) has been considered essential for the reduction of medical errors and increased patient safety. Assessment of staff perception regarding a CPOE system is important for satisfaction and adoption. Incorporation of user feedback can greatly improve the functionality of a system and promote user satisfaction.
This study aims to develop an informatics staff satisfaction survey instrument and to understand what components of computerized prescriber order entry (CPOE) contribute to staff satisfaction and its variability over time.
The 22-question survey was developed by a multidisciplinary group and focused on patient data including demographics, orders, medications, laboratory, and radiology data. The questions were designed to understand if clinicians (1) could easily access the information needed to properly take care of patients, (2) could act upon the information once acquired, (3) could obtain the information clearly, and (4) were alerted to potential errors. The survey was distributed just prior to “go-live,” 6 and 12 months after go-live. Responses were given on a five-point Likert scale.
The survey results post-implementation showed user satisfaction with CPOE. Satisfaction regarding the ease of obtaining orders, medication, and lab data had a significant improvement at 6 and 12 months post-implementation, p < 0.001. Satisfaction that the computerized order entry system provided information needed to take care of their patients improved, p < 0.01. At 1 year post-implementation, user satisfaction declined from 6 months earlier but still demonstrated an overall increase in satisfaction from pre-implementation.
Compared prior to go-live, clinicians are satisfied or very satisfied across multiple spheres and multiple disciplines. At all time points, clinicians were able to obtain information required to take care of their patients. However, post-go-live, it was easier to obtain and act upon as well as more clear and understandable.
- Callen J, Braithwaite J, Westbrook J. Cultures in hospitals and their influence on attitudes to, and satisfaction with, the use of clinical information systems. Soc Sci Med. 2007; 65: 635-639. CrossRef
- Ghahramani N, Lendel I, Haque R, Sawruk K. User satisfaction with computerized order entry system and its effect on workplace level of stress. J Med Syst. 2009; 33: 199-205. CrossRef
- Inquilla C, Szeinbach S, Seoane-Vazquez E, Kappeler K. Pharmacists’ perceptions of computerized prescriber-order-entry systems. Am J Health Syst Pharm. 2007; 64: 1626-1632. CrossRef
- Saathoff A. Human factors considerations relevant to CPOE implementations. J Healthc Inf Manag. 2005; 19(3): 71-78.
- Vikoren T, Clayton Musser R, Tcheng J, Nunley J. From clinical pathways to CPOE: Challenges and opportunities in standardization and computerization of postoperative orders for total joint replacement. J Surg Orthop Adv. 2006; 15(4): 195-200.
- A Computerized Order Entry System Was Adopted with High User Satisfaction at an Orthopedic Teaching Hospital
- Open Access
- Available under Open Access This content is freely available online to anyone, anywhere at any time.
HSS Journal ®
Volume 10, Issue 1 , pp 52-58
- Cover Date
- Print ISSN
- Online ISSN
- Springer US
- Additional Links
- satisfaction survey
- computerized prescriber order entry
- potential errors
- Industry Sectors
- Author Affiliations
- 1. Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA
- 4. Rehabilitation Department, Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA
- 2. Danbury Hospital, 24 Hospital Avenue, Danbury, CT, 06810, USA
- 3. Allscripts, Three Ravinia Drive, Atlanta, GA, 30346, USA