Implementing computerized physician order entry: the importance of special people
Implementing computerized physician order entry: the importance of special people
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DOI：
10.1016/s1386-5056(02)00107-7
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发表时间：
2003-03-01
影响因子：
4.9
通讯作者：
Fournier, L
中科院分区：
文献类型：
--
作者：
Ash, JS;Stavri, PZ;Fournier, L
目的：阐明在一项研究中吸取的重要经验教训，以确定在住院和门诊环境中实施计算机医嘱输入（CPOE）的成功因素。设计：定性研究，由一个多学科的团队使用观察，焦点小组，正式和非正式的访谈数据。数据进行了分析，使用接地的方法来开发一个分类的模式和主题的成绩单和现场笔记。结果：我们称之为特殊人群的主题在这里详细探讨。特殊人群的分类包括行政领导者、临床领导者（拥护者、意见领袖和脾气暴躁者）以及直接与用户接触的桥梁或支持人员。结论：识别和培养特殊人群应该是那些实施计算机化医嘱输入的最高优先事项之一。他们的教育和培训必须是卫生管理和医学信息学教学计划的目标。(C)2002爱思唯尔科学爱尔兰有限公司保留所有权利。
Objective: To articulate important lessons learned during a study to identify success factors for implementing computerized physician order entry (CPOE) in inpatient and outpatient settings. Design: Qualitative study by a multidisciplinary team using data from observation, focus groups, and both formal and informal interviews. Data were analyzed using a grounded approach to develop a taxonomy of patterns and themes from the transcripts and field notes. Results: The theme we call Special People is explored here in detail. A taxonomy of types of Special People includes administrative leaders, clinical leaders (champions, opinion leaders, and curmudgeons), and bridgers or support staff who interface directly with users. Conclusion: The recognition and nurturing of Special People should be among the highest priorities of those implementing computerized physician order entry. Their education and training must be a goal of teaching programs in health administration and medical informatics. (C) 2002 Elsevier Science Ireland Ltd. All rights reserved.