Center for Quality and Productivity Improvement, University of Wisconsin-Madison, Madison, WI 53706, USA.
J Am Med Inform Assoc. 2013 Mar-Apr;20(2):252-9. doi: 10.1136/amiajnl-2012-001114. Epub 2012 Oct 25.
Implementation of Computerized Provider Order Entry (CPOE) has many potential advantages. Despite the potential benefits of CPOE, several attempts to implement CPOE systems have failed or met with high levels of user resistance. Implementation of CPOE can fail or meet high levels of user resistance for a variety of reasons, including lack of attention to users' needs and the significant workflow changes required by CPOE. User satisfaction is a critical factor in information technology implementation. Little is known about how end-user satisfaction with CPOE changes over time.
To examine ordering provider and nurse satisfaction with CPOE implementation over time.
We conducted a repeated cross-sectional questionnaire survey in four intensive care units of a large hospital. We analyzed the questionnaire data as well as the responses to two open-ended questions about advantages and disadvantages of CPOE.
Users were moderately satisfied with CPOE and there were interesting differences between user groups: ordering providers and nurses. User satisfaction with CPOE did not change over time for providers, but it did improve significantly for nurses. Results also show that nurses and providers are satisfied with different aspects of CPOE.
实施计算机化医嘱录入系统（CPOE）有许多潜在的优势。尽管 CPOE 有潜在的好处，但几次尝试实施 CPOE 系统都失败了，或者遇到了用户的强烈抵制。CPOE 的实施可能会因为各种原因而失败或遇到用户的强烈抵制，包括对用户需求的关注不足，以及 CPOE 所要求的重大工作流程变化。用户满意度是信息技术实施的一个关键因素。对于 CPOE 的最终用户满意度随时间的变化，我们知之甚少。
随着时间的推移，检查医嘱录入员和护士对 CPOE 实施的满意度。
我们在一家大医院的四个重症监护病房进行了一项重复的横断面问卷调查。我们分析了问卷调查数据，以及关于 CPOE 优缺点的两个开放式问题的答案。
用户对 CPOE 的满意度中等，用户群体之间存在有趣的差异：医嘱录入员和护士。医嘱录入员对 CPOE 的满意度并没有随时间的推移而改变，但护士的满意度却显著提高。结果还表明，护士和医生对 CPOE 的不同方面感到满意。
