Factors influencing physician use of clinical electronic information technologies after adoption by their medical group practices

Kralewski, John E.; Dowd, Bryan E; Cole-Adeniyi, Titilope; Gans, Dave N.; Malakar, Lucy; Elson, Bob

doi:10.1097/01.hcm.0000318773.67395.ce

Cited by 39 publications

(30 citation statements)

References 10 publications

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“…Empirical non-oncology studies all look at very different factors that might affect implementation, including the use of a cpoe "champion" 41 ; respondent use of a home computer for work 42 ; and physician, structural, and cultural variables 43 . Some common themes emerging from those studies are the needs for a strong vision and motivation for introducing cpoe; for the involvement of stakeholders in decision-making; for the provision of in-depth, on-site, and ongoing training before and after launch; and for the establishment of mechanisms to efficiently respond to problems identified by end users 26,41,44-46 .…”

Section: Discussionmentioning

confidence: 99%

Computerized Prescriber Order Entry in the Outpatient Oncology Setting: From Evidence to Meaningful Use

et al. 2014

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ConclusionsDespite the paucity of oncology-specific research, cpoe should be used in outpatient chemotherapy delivery to reduce chemotherapy-related medication errors. Adoption by clinicians will be enhanced by cpoe processes that complement current practice and workflow processes. KEY WORDSComputerized prescriber order entry, outpatients, systematic review BACKGROUNDChemotherapy is an important type of treatment in the fight against many cancers. The very nature of chemotherapy's toxicity profile also creates potential for harm-and possibly death-if chemotherapy is not ordered, prepared, dispensed, and administered cautiously by members of the health care team.Medication errors can occur anywhere during the medication process from ordering to administration, and errors can compromise patient safety 1,2 . A Canadian study 3 estimated that 7.5% of patients admitted to acute care hospitals in Canada in 2000 experienced at least 1 adverse event. Drug-related adverse events were the second most common type of event, accounting for approximately 24% of all adverse events.Medication errors in oncology can be particularly serious, given the narrow therapeutic window and the high toxicities of antineoplastic drugs 4,5 . In a study conducted by Leape et al. 6 of adverse drug events, 39% of errors occurred in the physician order phase, with drug dosing accounting for 28% of all errors. Specific to chemotherapy, Gandhi et al. 7 revealed that the most common source of error was within the order phase and that, compared with non-chemotherapy medication errors, chemotherapy ABSTRACT Background

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Section: Discussionmentioning

confidence: 99%

Computerized Prescriber Order Entry in the Outpatient Oncology Setting: From Evidence to Meaningful Use

et al. 2014

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“…Two researchers audiotaped the interviews, 1 led the inquiry while the other focused on note taking. Interview questions were developed from the medical home, accountable care organization, and relevant case study literature, 2,[7][8][9][10][11][12] and reviewed by a primary care physician who was not part of the research team or the health system. Additional questions evolved from some responses.…”

Section: Methodsmentioning

confidence: 99%

“…7 Structured individual interviews were conducted with health system leaders and clinic managers between October 2013 and February 2014. Group discussion over breakfast or lunch were held with clinicians (physicians and nurse practitioners), nurses (RNs, LPNs, and MAs), and reception staff.…”

Section: Methodsmentioning

confidence: 99%

The Transition of Primary Care Group Practices to Next Generation Models: Satisfaction of Staff, Clinicians, and Patients

2017

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Introduction:Restructuring primary care is essential to achieve the triple aim. This case study examines the human factors of extensive redesign on 2 midsized primary care clinics (clinics A and B) in the Midwest United States that are owned by a large health care system. The transition occurred when while the principles for patient-centered medical home were being rolled out nationally, and before the Affordable Care Act.Methods: After the transition, interviews and discussions were conducted with 5 stakeholder groups: health system leaders, clinic managers, clinicians, nurses, and reception staff. Using a culture assessment instrument, the responses of personnel at clinics A and B were compared with comparison clinics from another health system that had not undergone transition. Patient satisfaction scores are presented.Results

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“…11 A similar analysis noted that 'organisational trust' and 'adaptive practice culture' are two factors that positively influence the utilisation of e-prescription technology within a physician organisation. 75 …”

Section: 73mentioning

confidence: 99%

Adoption and use of health information technology in physician practice organisations: systematic review

Foster¹,

Wong²

2010

Journal of Innovation in Health Informatics

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Background Health information technology (HIT) has the potential to improve clinical outcomes, increase health provider productivity and reduce healthcare costs. Over half of all patient care is delivered in physician practice organisations, yet adoption and utilisation of HIT in these groups lags behind inpatient facilities. Objective To better understand current utilisation rates along with benefits and barriers to HIT adoption in physician practice organisations. Methods Published literature on the adoption and use of HIT in physician practice organisations within the USA between 12 January 2004 and 12 January 2009 and indexed in MEDLINE and EMBASE was included in the systematic review. Grey literature was also searched. Studies related to the adoption and use of HIT in hospitals and community health centres were excluded. Results A total of 119 articles were eligible for inclusion in the review. Adoption rates across physician groups remain low, with between 9% and 29%

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Factors influencing physician use of clinical electronic information technologies after adoption by their medical group practices

Cited by 39 publications

References 10 publications

Computerized Prescriber Order Entry in the Outpatient Oncology Setting: From Evidence to Meaningful Use

Computerized Prescriber Order Entry in the Outpatient Oncology Setting: From Evidence to Meaningful Use

The Transition of Primary Care Group Practices to Next Generation Models: Satisfaction of Staff, Clinicians, and Patients

Adoption and use of health information technology in physician practice organisations: systematic review

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