Healthy Skepticism Library item: 5379
Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.
Publication type: Journal Article
Sittig DF, Krall M, Kaalaas-Sittig J, Ash JS.
Emotional aspects of computer-based provider order entry: a qualitative study.
J Am Med Inform Assoc 2005 Sep-Oct 01; 12:(5):561-7
http://www.jamia.org/cgi/content/full/12/5/561
Abstract:
OBJECTIVES: Computer-based provider order entry (CPOE) systems are implemented to increase both efficiency and accuracy in health care, but these systems often cause a myriad of emotions to arise. This qualitative research investigates the emotions surrounding CPOE implementation and use. METHODS: We performed a secondary analysis of several previously collected qualitative data sets from interviews and observations of over 50 individuals. Three researchers worked in parallel to identify themes that expressed emotional responses to CPOE. We then reviewed and classified these quotes using a validated hierarchical taxonomy of semantically homogeneous terms associated with specific emotions. RESULTS: The implementation and use of CPOE systems provoked examples of positive, negative, and neutral emotions. Negative emotional responses were the most prevalent, by far, in all the observations. CONCLUSION: Designing and implementing CPOE systems is difficult. These systems and the implementation process itself often inspire intense emotions. If designers and implementers fail to recognize that various CPOE features and implementation strategies can increase clinicians’ negative emotions, then the systems may fail to become a routine part of the clinical care delivery process. We might alleviate some of these problems by designing positive feedback mechanisms for both the systems and the organizations.
Keywords:
Attitude of Health Personnel
Attitude to Computers*
Emotions*
Hospital Administration
Hospital Information Systems
Humans
Medical Records Systems, Computerized*
Organizational Innovation
Qualitative Research
Research Support, N.I.H., Extramural
Research Support, U.S. Gov't, P.H.S.
User-Computer Interface*
