Implementing computerized physician order entry: the importance of special people

被引：120

作者：

Ash, JS ^{[1
]}

Stavri, PZ ^{[1
]}

Dykstra, R ^{[1
]}

Fournier, L ^{[1
]}

机构：

[1] Oregon Hlth & Sci Univ, Sch Med, Div Med Informat & Outcomes Res, Portland, OR 97201 USA

来源：

INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS | 2003年 / 69卷 / 2-3期

关键词：

point-of-care systems; focus groups; interviews; anthropology; cultural; medical records systems; computerized;

D O I：

10.1016/S1386-5056(02)00107-7

中图分类号：

TP [自动化技术、计算机技术];

学科分类号：

0812 ;

摘要：

Objective: To articulate important lessons learned during a study to identify success factors for implementing computerized physician order entry (CPOE) in inpatient and outpatient settings. Design: Qualitative study by a multidisciplinary team using data from observation, focus groups, and both formal and informal interviews. Data were analyzed using a grounded approach to develop a taxonomy of patterns and themes from the transcripts and field notes. Results: The theme we call Special People is explored here in detail. A taxonomy of types of Special People includes administrative leaders, clinical leaders (champions, opinion leaders, and curmudgeons), and bridgers or support staff who interface directly with users. Conclusion: The recognition and nurturing of Special People should be among the highest priorities of those implementing computerized physician order entry. Their education and training must be a goal of teaching programs in health administration and medical informatics. (C) 2002 Elsevier Science Ireland Ltd. All rights reserved.

引用

页码：235 / 250

页数：16

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