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Effect of a Computerized Provider Order Entry (CPOE) system on provider and nurse satisfaction at a community hospital and university hospital.

AMIA Annu Symp Proc. 2007;:1152

Authors: Wess ML, Hegner C, Anderson PF, Thelen G, Embi PJ, Besier JL, Besier JC

Computerized Provider Order Entry (CPOE) has few community hospital implementations with even less known about the effects on providers and nurses. With a pre-post study design, we surveyed providers and nurses at a community and a university hospital about their satisfaction with the ordering process. Overall, the trend for all users was less satisfaction with CPOE. Community providers were very satisfied with the paper ordering process and less satisfied with CPOE (p<0.0001).

PMID: 18694248 [PubMed - indexed for MEDLINE]

Effect of a Computerized Provider Order Entry (CPOE) System on medication orders at a community hospital and university hospital.

AMIA Annu Symp Proc. 2007;:796-800

Authors: Wess ML, Embi PJ, Besier JL, Lowry CH, Anderson PF, Besier CJ, Thelen G, Hegner CJ

Computerized Provider Order Entry (CPOE) has been demonstrated to improve the medication ordering process, but most published studies have been performed at academic hospitals. Little is known about the effects of CPOE at community hospitals. With a pre-post study design, we assessed the effects of a CPOE system on the medication ordering process at both a community and university hospital. The time from provider ordering to pharmacist verification decreased by two hours with CPOE at the community hospital (p<0.0001) and by one hour at the university hospital (p<0.0001). The rate of medication clarifications requiring signature was 2.80 percent pre-CPOE and 0.40 percent with CPOE (p<0.0001) at the community hospital. The university hospital was 2.76 percent pre-CPOE and 0.46 percent with CPOE (p<0.0001). CPOE improved medication order processing at both community and university hospitals. These findings add to the limited literature on CPOE in community hospitals.

PMID: 18693946 [PubMed - indexed for MEDLINE]

Perceived barriers to information access among medical residents in Iran: obstacles to answering clinical queries in settings with limited Internet accessibility.

AMIA Annu Symp Proc. 2007;:523-7

Authors: Mazloomdoost D, Mehregan S, Mahmoudi H, Soltani A, Embi PJ

Studies performed in the US and other Western countries have documented that physicians generate many clinical questions during a typical day and rely on various information sources for answers. Little is known about the information seeking behaviors of physicians practicing in other countries, particularly those with limited Internet connectivity. We conducted this study to document the perceived barriers to information resources used by medical residents in Iran. Our findings reveal that different perceived barriers exist for electronic versus paper-based resources. Notably, paper-based resources are perceived to be limited by resident time-constraints and availability of resources, whereas electronic resources are limited by cost decentralized resources (such as PDAs) and accessibility of centralized, Internet access. These findings add to the limited literature regarding health information-seeking activities in international healthcare settings, particularly those with limited Internet connectivity, and will supplement future studies of and interventions in such settings.

PMID: 18693891 [PubMed - indexed for MEDLINE]

Identifying challenges and opportunities in clinical research informatics: analysis of a facilitated discussion at the 2006 AMIA Annual Symposium.

AMIA Annu Symp Proc. 2007;:221-5

Authors: Embi PJ, Payne PR, Kaufman SE, Logan JR, Barr CE

Clinical Research Informatics (CRI) is a rapidly developing sub-domain of Biomedical Informatics that has seen considerable growth in recent years. While there are numerous activities and initiatives ongoing in this domain, systematic consideration and analysis of the challenges and opportunities that exist in this area are lacking. To begin to address this gap in knowledge and inform next steps in advancing this developing domain, we conducted a facilitated discussion among a diverse group of interested participants attending a meeting of the Clinical Research Informatics Working Group at the AMIA 2006 annual symposium. Findings from our analysis of these data are presented here and indicate a broad array of challenges and opportunities facing this developing area. These findings add new information to the limited literature regarding CRI and should provide direction for those working to set the CRI research and development agenda.

PMID: 18693830 [PubMed - indexed for MEDLINE]