Department of Hospital and Clinical Pharmacy, University of Groningen and University Medical Center Groningen, Groningen, The Netherlands.
J Eval Clin Pract. 2010 Aug;16(4):738-43. doi: 10.1111/j.1365-2753.2009.01187.x. Epub 2010 Jun 10.
To explore physicians' and nurses' expectations before and experiences after the implementation of a computerized physician order entry (CPOE) system in order to give suggestions for future optimization of the system as well as the implementation process.
On four internal medicine wards of two Dutch hospitals, 18 physicians and 42 nurses were interviewed to measure expectations and experiences with the CPOE system. Using semi-structured questionnaires, expectations and experiences of physicians and nurses with the CPOE system were measured with statements on a 5-point Likert scale (1 = completely disagree, 5 = completely agree). The percentage respondents agreeing (score of 4 or 5) was calculated. Chi-squared tests were used to compare the expectations versus experiences of physicians and nurses and to assess the differences between physicians and nurses.
In general, both physicians and nurses were positive about CPOE before and after the implementation of this system. Physicians and nurses did not differ in their views towards CPOE except for the overview of patients' medication use that was not clear according to the nurses. Both professions were satisfied with the implementation process. CPOE could be improved especially with respect to technical aspects (including the medication overview) and decision support on drug-drug interactions.
Overall we conclude that physicians and nurses are positive about CPOE and the process of its implementation and do accept these systems. However, these systems should be further improved to fit into clinical practice.
探讨医生和护士在实施计算机医嘱录入（CPOE）系统前后的期望和体验，为系统未来的优化以及实施过程提供建议。
在荷兰两家医院的四个内科病房，对 18 名医生和 42 名护士进行了访谈，以衡量他们对 CPOE 系统的期望和体验。使用半结构化问卷，通过 5 点李克特量表（1=完全不同意，5=完全同意）对医生和护士对 CPOE 系统的期望和体验进行测量。计算同意的受访者百分比（评分 4 或 5）。采用卡方检验比较医生和护士的期望与体验，以及评估医生和护士之间的差异。
总体而言，医生和护士在实施该系统前后对 CPOE 持积极态度。医生和护士对 CPOE 的看法没有差异，除了护士认为患者用药情况的概述不明确。两个专业都对实施过程感到满意。CPOE 可以得到改进，特别是在技术方面（包括药物概述）和药物相互作用的决策支持方面。
总的来说，我们得出结论，医生和护士对 CPOE 以及其实施过程持积极态度，并且接受这些系统。然而，这些系统应该进一步改进，以适应临床实践。
