Measurement of CPOE end-users satisfaction among ICU physicians and nurses

A review of the article titled "Measurement of CPOE End-User Satisfaction among ICU Physicians and Nurses".

Background

CPOE (computerized provider order entry) has been one of the most rising applications of information technology to health care since the 1970s. As usage is increasing, healthcare facilities are facing high levels of user resistance during and after implementation. Some of the factors leading to this include lack of sensitivity to user's needs and the dissatisfaction of users with the technology. The article focuses on the development and application of a set of criteria to measure end-user satisfaction when hospitals implement CPOE. Based on the criteria outlined in the article, an existing questionnaire will be evaluated and chosen. Once the questionnaire is chosen, it will be used to collect data in four intensive care units of the chosen medical center.

Methods

Two methods for a conducting the study were evaluated. The first was to develop a new questionnaire and customize it to the hospital setting in which it was going to conducted at. However this method was not chose due to the lack of time and expertise in which the study was needed. The second was to select an existing questionnaire and further develop and add criteria needed to complete the study and focus on CPOE user satisfaction instead of overall system user satisfaction.

The seven criteria that were developed an added were the following:

1. Domain (general vs. specific)

2. Conceptualtization

3. Psychometrics

4. Data for comparison

5. Replication/follow-up studies

6. Specificity

7. Paper and pencil version vs. Web-Based Survey (WBS) version

The questionnaires that were evaluated were QUIS, POESUS, CUSQ, CSUQ, EUCSQ, and USE.