Longitudinal study of user experiences of a CPOE system in a pediatric hospital

Baysari, Melissa T.; Hardie, Rae-Anne; Lake, Rebecca; Richardson, Lauren; McCullagh, Cheryl; Gardo, Alan; Westbrook, Johanna I.

doi:10.1016/j.ijmedinf.2017.10.018

Cited by 44 publications

(65 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…atrial fibrillation and gestational diabetes mellitus, focusing particularly on both patient and care provider compliance to guideline recommendations and overall satisfaction with the CDSS, as well as on patient quality of life. Focusing on medication safety per se, Kannampallil et al [17] analyzed medication orders voiding in CPOE systems by exploiting data from an academic medical center for a 6-year period, while Baysari et al [18] conducted a longitudinal study to obtain user experiences concerning the implementation of a CPOE system in a pediatric hospital. Ip et al [19] elaborated on identifying CDS factors contributing to imaging order cancellation or modification, a study performed across four institutions participating in the Medicare Imaging Demonstration with findings that may have implications for the future design of such CDSSs.…”

Section: Discussion and Outlookmentioning

confidence: 99%

“…Ebadi A, Tighe PJ, Zhang L, Rashidi P DisTeam: A decision support tool for surgical team selection Artif Intell Med 2017 Feb;76: [16][17][18][19][20][21][22][23][24][25][26] DisTeam is a novel decision support tool for surgical team selection aspiring to contribute in reduced conflicts, better coordination, and better patient outcomes. While many studies have elaborated on how to organize optimal human resources allocation in the hospital environment, DisTeam relies on a matchmaking framework to accommodate optimal surgical team selection among individual healthcare professionals (surgeons, anesthesiologists, and nurse circulators).…”

Section: Discussion and Outlookmentioning

confidence: 99%

See 1 more Smart Citation

Contributions from the 2017 Literature on Clinical Decision Support

Koutkias

Bouaud

2018

Yearb Med Inform

View full text Add to dashboard Cite

The conducted review illustrated also this year that research in the field of CDSS is very active. Of note is the increase in publications concerning data-driven CDSSs, as revealed by the review process and also reflected by the four papers that have been selected. This trend is in line with the current attention that "Big Data" and data-driven artificial intelligence have gained in the domain of health and CDSSs in particular.

show abstract

Section: Discussion and Outlookmentioning

confidence: 99%

Section: Discussion and Outlookmentioning

confidence: 99%

Contributions from the 2017 Literature on Clinical Decision Support

Koutkias

Bouaud

2018

Yearb Med Inform

View full text Add to dashboard Cite

show abstract

“…Interviews lasted, on average, 18 min. Interview questions were developed with input from health services researchers, doctors, nurses and pharmacists, and focused on overall impressions of the EMMS and how it had changed work . Interview questions are given in Box 1.…”

Section: Methodsmentioning

confidence: 99%

“…There is now good evidence to show that EMMS can reduce medication errors, improve order accuracy and completeness and improve timely access to medication information . However, accompanying this evidence are reports of EMMS negatively affecting the work of clinicians, and users adopting workarounds to combat problems with EMMS performance, usability or access …”

Section: Introductionmentioning

confidence: 99%

“…[3][4][5][6] However, accompanying this evidence are reports of EMMS negatively affecting the work of clinicians, 6,7 and users adopting workarounds to combat problems with EMMS performance, usability or access. 8,9 Although numerous studies have explored the effects of EMMS on doctors' and nurses' work, limited studies have focused specifically on pharmacists. In an observational time-and-motion study undertaken in an Australian adult hospital, the work of pharmacists on wards that used paper-based medication charts was compared with that of pharmacists on wards with an EMMS in place.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Effects of an electronic medication management system on pharmacists’ work in a paediatric hospital

Baysari

Hardie

Barclay

et al. 2019

Pharmacy Practice and Res

Self Cite

View full text Add to dashboard Cite

Background Many studies have explored the effect of electronic medication management systems (EMMS) on doctors’ and nurses’ work, but few have focused specifically on pharmacists’ work. Aim This study examined how implementation of a commercial EMMS affected the work of pharmacists in an Australian paediatric hospital. In particular, the study investigated whether any pharmacy tasks changed or were eliminated, or whether new tasks emerged following EMMS introduction. Methods Two rounds of semistructured interviews with pharmacists, one 4 months and the other 1 year after EMMS implementation, were conducted. In total, 17 pharmacists were interviewed, comprising inpatient, outpatient and oncology pharmacists, as well as pharmacy managers. Results EMMS implementation eliminated a small number of tasks, changed some tasks and created many new work tasks for pharmacists. These new tasks included helping doctors and nurses to use the EMMS, duplicated data entry and the review of additional information. Pharmacists held the view that their workload had increased and that additional pharmacists were necessary to cope with the new work requirements associated with the EMMS. Some problems were perceived to be the result of implementation of a US‐designed EMMS that did not fully support Australian pharmacy workflows. Conclusion Implementation of an EMMS in a paediatric hospital affected pharmacists’ work in a variety of ways, predominately by introducing new tasks. Anticipating how workflows will change with EMMS implementation is challenging. Undertaking regular reviews of workflow and planning for an increased burden on pharmacy staff is likely to improve the transition from paper to electronic medication management.

show abstract

Encourage autonomy to increase individual work performance: the impact of job characteristics on workaround behavior and shadow IT usage

2022

View full text Add to dashboard Cite

IT users are increasingly experienced at adapting technologies to their needs; resulting in the widespread use of workarounds and shadow IT. To ascertain the impact of job characteristics on this behavior, a survey was conducted among 415 IT users. The collected data underwent Reliability Analysis and Exploratory Factor Analysis in SPSS software. Subsequently, Confirmatory Factor Analysis and Structural Equation Modeling were conducted with the SmartPLS software. The main results indicate that autonomy is strongly related to workaround behavior and shadow IT usage. Workaround behavior and shadow IT use have also been proven to be strongly related. However, the level of skill variety and task identity do not seem to significantly affect workaround behavior and shadow IT usage. Finally, this study's findings demonstrate that both workaround behavior and shadow IT use are positively related to individual performance. Organizations are therefore encouraged to increase job autonomy in order to achieve enhanced individual performance by presenting workers with opportunities to adapt technologies in the form of workarounds and shadow IT. The use of such alternative solutions provides for faster and more dynamic communication and thus boosts collaboration among co-workers, external partners, and clients.

show abstract

Longitudinal study of user experiences of a CPOE system in a pediatric hospital

Cited by 44 publications

References 24 publications

Contributions from the 2017 Literature on Clinical Decision Support

Contributions from the 2017 Literature on Clinical Decision Support

Effects of an electronic medication management system on pharmacists’ work in a paediatric hospital

Encourage autonomy to increase individual work performance: the impact of job characteristics on workaround behavior and shadow IT usage

Contact Info

Product

Resources

About