Changes in end-user satisfaction with Computerized Provider Order Entry over time among nurses and providers in intensive care units.

Hoonakker PL, Carayon P, Brown RL, Cartmill RS, Wetterneck TB, Walker JM.

Source

Center for Quality and Productivity Improvement, University of Wisconsin-Madison, Madison, WI 53706, USA. phoonakker@cqpi.engr.wisc.edu

Abstract

BACKGROUND:

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.

OBJECTIVE:

To examine ordering provider and nurse satisfaction with CPOE implementation over time.

METHODS:

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.

RESULTS:

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.