Attitudes and Perceptions of Pediatric Residents on Transitioning to CPOE

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Background

Methods

Results

Conclusion

References


Second Review

This is a review of an article by Shriner et al, Attitudes and Perceptions of Pediatric Residents on Transitioning to CPOE [1]

Objective

To investigate the attitudes and perceptions of residents before and after the implementation of CPOE and CDS system.

Methods

Web-based survey was used to collect data from pediatric residents prior to CPOE implementation and at 6 months as well as at 12 months post implementation. The survey included a variety of multiple choice questions, free text response and Likert scale queries. Descriptive statistics was used to compare pre and post implementation results.

Results

70% of residents were looking forward to CPOE and 28% resist on transitioning to CPOE during during the pre-implementation survey. At 12 months post-implementation, 80% of residents favored CPOE over paper ordering and only 3.33% wished to revert to paper ordering. In terms of time spent on ordering, at 6 months post-implementation, residents reported an increased time while at 12 months post-implementation, the difference in perceived time to complete admission orders was insignificant.

Conclusion

Overall, pediatric residents demonstrated a preference for CPOE. The majority of residents found CDS stools helpful and felt more knowledgeable about current guidelines. EMR resources are likely to be important factors for residents' future employment opportunities.

Comments

This study showed CPOE had dominant benefits over paper based order entry. It is interesting to find that employment opportunities is also linked to residents' familiarity with health technology. This in part reflected the current policies and guidelines to stimulate health IT adoption is working.

References

  1. Shriner, A. R., & Webber, E. C. (2014). Attitudes and Perceptions of Pediatric Residents on Transitioning to CPOE. Appl Clin Inform, 5(3), 721-730.