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Int J Med Inform. 2003 Mar;69(2-3):235-50.

Implementing computerized physician order entry: the importance of special people.

Author information

  • 1Division of Medical Informatics and Outcomes Research, School of Medicine, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, Portland, OR 97201-3098, USA. ash@ohsu.edu

Abstract

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.

PMID:
12810127
[PubMed - indexed for MEDLINE]
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