Characteristics of CPOE systems and obstacles to implementation that physicians believe will affect adoption.

摘要: BACKGROUND Computerized Physician Order Entry (CPOE) has the potential to decrease medical errors and improve quality. Our health system plans implement CPOE in response ARRA HITECH Act. OBJECTIVES To determine (A) physicians' projections of most important characteristics a that will affect their willingness adopt CPOE, (B) obstacles they foresee adopting CPOE. METHODS All members our system's physician quality organization were invited participate confidential survey. RESULTS Two hundred twenty-four 549 (41%) recipients responded Respondents ranked "disruption my work routine" (72%) "improve efficiency placing orders" (63%) as two would utilization They believed enable orders be placed more efficiently (3.3, sd = 1.2), carried out rapidly (3.4, 0.9), have fewer (3.7, 0.9). The commonly cited implementation were: Efficiency-Inefficiency (23%), Hardware Availability (12.7%), Computer Restrictions (10.8%), Training (8.8%), Simplicity - Ease Use (8.5%), Buy-in (8.1%). CONCLUSIONS majority physicians lead reduction efficient patient care. However, are highly concerned with how own efficiency.