Top

Published in:

01-06-2009 | Original Paper

User Satisfaction with Computerized Order Entry System and Its Effect on Workplace Level of Stress

Authors: Nasrollah Ghahramani, Irina Lendel, Rehan Haque, Kathryn Sawruk

Published in: Journal of Medical Systems | Issue 3/2009

Abstract

To evaluate the impact of Computerized Provider Order Entry (CPOE) on workplace stress and overall job performance, as perceived by medical students, housestaff, attending physicians and nurses, after CPOE implementation at Penn State—Milton S. Hershey Medical Center, an academic tertiary care facility, in 2005. Using an online survey, the authors studied attitudes towards CPOE among 862 health care professionals. The main outcome measures were job performance and perceived stress levels. Statistical analyses were conducted using the Statistical Analytical Software (SAS Inc, Carey, NC). A total of 413 respondents completed the entire survey (47.9 % response rate). Respondents in the younger age group were more familiar with the system, used it more frequently, and were more satisfied with it. Interns and residents were the most satisfied groups with the system, while attending physicians expressed the least satisfaction. Attending physicians and fellows found the system least user friendly compared with other groups, and also tended to express more stress and frustration with the system. Participants with previous CPOE experience were more familiar with the system, would use the system more frequently and were more likely to perceive the system as user friendly. User satisfaction with CPOE increases by familiarity and frequent use of the system. Improvement in system characteristics and avoidance of confusing terminology and inconsistent display of data is expected to enhance user satisfaction. Training in the use of CPOE should start early, ideally integrated into medical and nursing school curricula and form a continuous, long-term and user-specific process. This is expected to increase familiarity with the system, reducing stress and leading to improved user satisfaction and to subsequent enhanced safety and efficiency.

Available only for authorised users

Bates, D. W., Cullen, D. J., Laird, N., et al, Incidence of adverse drug events and potential adverse drug events. Implications for prevention. ADE Prevention Study Group. JAMA. 274:29–34, 1995, doi:10.1001/jama.274.1.29.CrossRef

Fattinger, K., Roos, M., Vergeres, P., et al, Epidemiology of drug exposure and adverse drug reactions in two Swiss departments of internal medicine. Br. J. Clin. Pharmacol. 49:158–167, 2000, doi:10.1046/j.1365-2125.2000.00132.x.CrossRef

Bates, D. W., Spell, N., Cullen, D. J., et al, The costs of adverse drug events in hospitalized patients. Adverse Drug Events Prevention Study Group. JAMA. 277:307–311, 1997, doi:10.1001/jama.277.4.307.CrossRef

Kuperman, G. J., and Gibson, R. F., Computer physician order entry: benefits, costs, and issues. Ann. Intern. Med. 139:31–39, 2003.

Ash, J. S., Gorman, P. N., Seshadri, V., et al, Computerized physician order entry in U.S. hospitals: results of a 2002 survey. J. Am. Med. Inform. Assoc. 11:95–99, 2004, doi:10.1197/jamia.M1427.CrossRef

Ash, J. S., Stavri, P. Z., and Kuperman, G. J., A consensus statement on considerations for a successful CPOE implementation. J. Am. Med. Inform. Assoc. 10:229–234, 2003, doi:10.1197/jamia.M1204.CrossRef

Tierney, W. M., Overhage, J. M., McDonald, C. J., et al, Medical students’ and housestaff’s opinions of computerized order-writing. Acad. Med. 69:386–389, 1994, doi:10.1097/00001888-199405000-00013.CrossRef

Hier, D. B., Rothschild, A., LeMaistre, A., et al, Differing faculty and housestaff acceptance of an electronic health record. Int. J. Med. Inform. 74:657–662, 2005, doi:10.1016/j.ijmedinf.2005.03.006.CrossRef

Wilson, J. P., Bulatao, P. T., and Rascati, K. L., Satisfaction with a computerized practitioner order-entry system at two military health care facilities. Am. J. Health Syst. Pharm. 57:2188–2195, 2000.

10.

Lee, F., Teich, J. M., Spurr, C. D., et al, Implementation of physician order entry: user satisfaction and self-reported usage patterns. J. Am. Med. Inform. Assoc. 3:42–55, 1996.

11.

Weiner, M., Gress, T., Thiemann, D. R., et al, Contrasting views of physicians and nurses about an inpatient computer-based provider order-entry system. J. Am. Med. Inform. Assoc. 6:234–244, 1999.

12.

Aarts, J., Ash, J., and Berg, M., Extending the understanding of computerized physician order entry: Implications for professional collaboration, workflow and quality of care. Int. J. Med. Inform. 76(Suppl 1):4–13, 2007, doi:10.1016/j.ijmedinf.2006.05.009.CrossRef

13.

Beuscart-Zephir, M. C., Pelayo, S., Anceaux, F., et al, Impact of CPOE on doctor–nurse cooperation for the medication ordering and administration process. Int. J. Med. Inform. 74:629–641, 2005, doi:10.1016/j.ijmedinf.2005.01.004.CrossRef

14.

Rosenbloom, S. T., Talbert, D., and Aronsky, D., Clinicians’ perceptions of clinical decision support integrated into computerized provider order entry. Int. J. Med. Inform. 73:433–441, 2004, doi:10.1016/j.ijmedinf.2004.04.001.CrossRef

15.

Hatcher, M., Impact of information systems on acute care hospitals: results from a survey in the United States. J. Med. Syst. 22:379–387, 1998, doi:10.1023/A:1020614208753.CrossRef

16.

Leung, G. M., Yeung, R. Y., Lai, T. Y., et al, Physicians’ perceptions towards the impact of and willingness to pay for clinical computerization in Hong Kong. Int. J. Med. Inform. 73:403–414, 2004, doi:10.1016/j.ijmedinf.2004.03.003.CrossRef

17.

Weir, C. R., Crockett, R., Gohlinghorst, S., et al, Does user satisfaction relate to adoption behavior?: an exploratory analysis using CPRS implementation. Proc AMIA Symp:913–917, 2000.

18.

Murff, H. J., and Kannry, J., Physician satisfaction with two order entry systems. J. Am. Med. Inform. Assoc. 8:499–509, 2001.

19.

Sittig, D. F., Kuperman, G. J., Fiskio, J., Evaluating physician satisfaction regarding user interactions with an electronic medical record system. Proc AMIA Symp:400–404, 1999.

20.

Cohen, S., Kamarck, T., and Mermelstein, R., A global measure of perceived stress. J. Health Soc. Behav. 24:385–396, 1983, doi:10.2307/2136404.CrossRef

21.

Schectman, J. M., Schorling, J. B., Nadkarni, M. M., et al, Determinants of physician use of an ambulatory prescription expert system. Int. J. Med. Inform. 74:711–717, 2005, doi:10.1016/j.ijmedinf.2005.05.011.CrossRef

22.

Poissant, L., Pereira, J., Tamblyn, R., et al, The impact of electronic health records on time efficiency of physicians and nurses: a systematic review. J. Am. Med. Inform. Assoc. 12:505–516, 2005, doi:10.1197/jamia.M1700.CrossRef

23.

Nowinski, C. J., Becker, S. M., Reynolds, K. S., et al, The impact of converting to an electronic health record on organizational culture and quality improvement. Int. J. Med. Inform. 76(Suppl 1):174–183, 2007, doi:10.1016/j.ijmedinf.2006.05.016.CrossRef

24.

Rafnsdottir, G. L., and Gudmundsdottir, M. L., New technology and its impact on well being. Work. 22:31–39, 2004.

25.

Stahl, J. E., Egan, M. T., Goldman, J. M., et al, Introducing new technology into the operating room: measuring the impact on job performance and satisfaction. Surgery. 137:518–526, 2005, doi:10.1016/j.surg.2004.12.015.CrossRef

26.

Statham, A., and Bravo, E., The introduction of new technology: health implications for workers. Women Health. 16:105–129, 1990, doi:10.1300/J013v16n02_08.CrossRef

27.

Yassi, A., and Miller, B., Technological change and the medical technologist: a stress survey of four biomedical laboratories in a large tertiary care hospital. Can. J. Med. Technol. 52:228–242, 1990.

28.

Smith, M. J., Conway, F. T., and Karsh, B. T., Occupational stress in human computer interaction. Ind. Health. 37:157–173, 1999, doi:10.2486/indhealth.37.157.CrossRef

29.

Arnetz, B. B., Technological stress: psychophysiological aspects of working with modern information technology. Scand. J. Work Environ. Health. 23(Suppl 3):97–103, 1997.

30.

Gardiner, M., Sexton, R., Durbridge, M., et al, The role of psychological well-being in retaining rural general practitioners. Aust. J. Rural Health. 13:149–155, 2005, doi:10.1111/j.1440-1854.2005.00677.x.CrossRef

Title: User Satisfaction with Computerized Order Entry System and Its Effect on Workplace Level of Stress
Authors: Nasrollah Ghahramani
Irina Lendel
Rehan Haque
Kathryn Sawruk
Publication date: 01-06-2009
Publisher: Springer US
Published in: Journal of Medical Systems / Issue 3/2009
Print ISSN: 0148-5598
Electronic ISSN: 1573-689X
DOI: https://doi.org/10.1007/s10916-008-9180-6

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

User Satisfaction with Computerized Order Entry System and Its Effect on Workplace Level of Stress

Abstract

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 3/2009

How to Effectively Implement an Indicator System to Improve Performance from a Management Perspective: The Case of Taiwan Healthcare Indicator Series (THIS) System

Analysis of Normal Human Eye with Different Age Groups using Infrared Images

Comparison of Short-Time Fourier Transform and Eigenvector MUSIC Methods Using Discrete Wavelet Transform for Diagnosis of Atherosclerosis

Epileptic Spike Recognition in Electroencephalogram Using Deterministic Finite Automata

Primary Care Physician's Attitude Towards the GERMAN e-Health Card Project—Determinants and Implications

A Simulation Approach for Scheduling Patients in the Department of Radiation Oncology