Implementation of physician order entry: User satisfaction and self-reported usage patterns
Implementation of physician order entry: User satisfaction and self-reported usage patterns
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DOI：
10.1136/jamia.1996.96342648
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发表时间：
1996-01-01
影响因子：
6.4
通讯作者：
Bates, DW
中科院分区：
文献类型：
--
作者：
Lee, F;Teich, JM;Bates, DW
目的：评估一家医院关于内科医嘱录入（POE）的用户满意度、满意度的相关性和自我报告的使用模式。设计：向医疗和外科服务部门的医师和护士POE用户发送调查问卷。结果：用户对POE总体满意（1 ~ 7分制，平均值为5.07）。内科医生的满意度低于护士，医务人员的满意度高于外科医生；即使在满意度较低的群体中，满意度水平也是可以接受的（超过3.50）。满意度与POE对生产力、易用性和速度的影响的看法高度相关。旨在提高护理质量的POE特征与满意度的相关性较弱。医生最重视POE的可达性，护士最重视POE医嘱的易读性和准确性。一些功能，如精灵楼层排序，被认为是非常有用的，据报道经常被医生使用；而其他功能，如“快速模式”订购和个人订单集，很少有人使用。结论：对POE用户的调查显示，用户对POE的满意度较好。满意度与POE对生产力的影响比POE对护理质量的影响更相关。医生和护士构成了两种截然不同的用户类型，强调了医生和非医生参与POE开发的重要性。结果表明，开发工作应侧重于提高系统速度，增加在线帮助，并强调POE的质量效益。
Objectives: To evaluate user satisfaction, correlates of satisfaction, and self-reported usage patterns regarding physican order entry (POE) in one hospital.Design: Surveys were sent to physician and nurse POE users from medical and surgical services.Results: The users were generally satisfied with POE (mean = 5.07 on a 1 to 7 scale). The physicians were moro satisfied than the nurses, and the medical staff were more satisfied than the surgical staff; satisfaction levels were acceptable (more than 3.50) even in the less satisfied groups. Satisfaction was highly correlated with perceptions about POE's effects on productivity, ease of use, and speed. POE features directed at improving the quality of care were less strongly correlated with satisfaction. The physicians valued POE's off-floor accessibility most, and the nurses valued legibility and accuracy of POE orders most. Some features, such as elf-floor ordering, were perceived to be highly useful and reported to be frequently used by the physicians; while other features, such as ''quick mode'' ordering and personal order sets, received little self-reported use.Conclusions: Survey of POE users showed thar satisfaction with POE was good. Satisfaction was more correlated with perceptions about POE's effect on productivity than with POE's effect on quality of care. Physicians and nurses constitute two very different types of users, underscoring the importance of involving both physicians and nonphysicians in POE development. The results suggest that development efforts should focus on improving system speed, adding on-line help, and emphasizing quality benefits of POE.