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Int J Med Inform. 2005 Aug;74(7-8):623-8.

Adding insight: a qualitative cross-site study of physician order entry.

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Oregon Health and Science University, School of Medicine, BICC, Department of Medical Informatics and Clinical Epidemiology, 3181 SW Sam Jackson Park Road, Portland, OR 97201-3098, USA.


The research questions, strategies, and results of a 7-year qualitative study of computerized physician order entry implementation (CPOE) at successful sites are reviewed over time. The iterative nature of qualitative inquiry stimulates a consecutive stream of research foci, which, with each iteration, add further insight into the overarching research question. A multidisciplinary team of researchers studied CPOE implementation in four organizations using a multi-method approach to address the question "what are the success factors for implementing CPOE?" Four major themes emerged after studying three sites; ten themes resulted from blending the first results with those from a fourth site; and twelve principles were generated when results of a qualitative analysis of consensus conference transcripts were combined with the field data. The study has produced detailed descriptions of factors related to CPOE success and insight into the implementation process.

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