Measurement of CPOE end-user satisfaction among ICU physicians and nurses.

Measurement of CPOE end-user satisfaction among ICU physicians and nurses.
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DOI:
10.4338/aci-2010-03-ra-0020
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发表时间:
2010-01-01
影响因子:
2.9
通讯作者:
Walker JM
Walker JM
中科院分区:
医学3区
文献类型:
--
作者:
Hoonakker PL;Carayon P;Walker JM

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由于各种原因,包括对用户的需求缺乏关注以及计算机化供应商订单输入引起和要求的重大工作流程变化,实施计算机化供应商订单输入可能失败或遭到用户的高度抵制。最终用户满意度是IT实施的一个关键因素。目的:本研究的目的是确定标准,以选择一个有效和可靠的问卷来衡量最终用户的满意度与CPOE。我们制定了七个标准,可用于选择有效和可靠的问卷。我们将选择标准应用于现有的最终用户满意度调查问卷。大多数用于测量最终用户满意度的问卷已经过信度和效度测试,大多数问卷具有合理的信度和一定的效度。然而,只有一个问卷,医生订单输入用户满意度和使用调查(POESUS)符合我们制定的大多数其他标准,以选择一个问卷来评估CPOE的实施。我们在研究中使用了POESUS,并将结果与其他研究进行了比较。结果表明,用户对CPOE的满意度中等。使用我们开发的七个标准,可以选择可靠和有效的问卷。我们希望,在未来,这将导致越来越多的研究使用相同的问卷。这将增加将一项研究的结果与另一项研究的结果进行比较的可能性(基准)。
Implementation of Computerized Provider Order Entry (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 induced and required by CPOE. End-user satisfaction is a critical factor in IT implementation. Objective: The goal of this study was to identify criteria to select a valid and reliable questionnaire to measure end-user satisfaction with CPOE. We developed seven criteria that can be used to select valid and reliable questionnaires. We applied the selection criteria to existing end-user satisfaction questionnaires. Most of the questionnaires used to measure end-user satisfaction have been tested for reliability and validity and most of the questionnaires have reasonably reliability and some sort of validity. However, only one questionnaire, the Physician Order Entry User Satisfaction and Usage Survey (POESUS) met most of the other criteria we developed to select a questionnaire to evaluate CPOE implementation. We used the POESUS in our study and compared the results with other studies. Results show that users are moderately satisfied with CPOE. Using the seven criteria we developed, it is possible to select reliable and valid questionnaires. We hope that in the future this will lead to an increasing number of studies using the same questionnaires. That will improve the possibilities for comparing the results of one study to another (benchmarking).