期刊
INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
卷 69, 期 2-3, 页码 235-250出版社
ELSEVIER IRELAND LTD
DOI: 10.1016/S1386-5056(02)00107-7
关键词
point-of-care systems; focus groups; interviews; anthropology; cultural; medical records systems; computerized
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.
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