Physicians' perception of CPOE implementation
"Objective To identify perceptions held by physicians of the benefits of computerized physician order entry (CPOE) and factors influencing its successful implementation in the context of the increased presence of a clinical pharmacist on ward. Setting A 2000-bed University Hospital. Method A cross-section opinion survey was conducted of all permanent physicians of the hospital to determine their perception on the benefits, or otherwise, of CPOE. Questionnaires, built upon the analysis of 10 preliminary semi-structured interviews with physicians, were sent to physicians by electronic and paper mail. It comprised three sections with a 4 level Likert scale: general perception of CPOE benefits (items 1.1–1.8); opinion on the introduction of the CPOE system in the hospital (item 2); opinion on the presence of a pharmacist on ward (item 3). A fourth section recorded the respondent’s profile. Main outcome measures Level of agreement on the items describing the general perception of CPOE benefits; opinion on the introduction of a CPOE system in the hospital; and opinion on the pharmacist’s presence on ward. A Principal Component Analysis (PCA) was conducted on sections one and two. Analysis of this PCA representation in terms of the respondents’ profile was performed. Results One hundred and one physicians (18%) participated in the survey. Most (83%) physicians favoured the implementation of a CPOE (item 2). Among the advantages of CPOE, the greatest agreement concerned items related to safety and regulatory issues (from 80 to 76% agreement). Other items related to management issues were perceived as less tangible benefits (from 50 to 67% agreement). The increased presence of a pharmacist on the ward was supported by 94% of physicians. The PCA representation using profile items produced a 2-factor solution, accounting for 68% of the variance, with former experience of collaboration with a pharmacist (P = 0.002) and senior physician status (P = 0.013) positively influencing the perception of the CPOE. Conclusion Endorsement by senior physicians and the presence of a clinical pharmacist on ward promote a positive attitude towards CPOE and facilitate its implementation." 
The study took place in a 2,000-bed University Hospital.
The study was conducted via a cross-section opinion survey by a master student. All permanent physicians received a questionnaire in the mail. The questionnaire was divided into four sections: general perception of the benefits offered by a CPOE system, opinion on the development of the CPOE system in the hospital, opinion on the expansion of the pharmacists' presence on ward, and respondent's profile.
The response rate for the study was 18%. 83% of respondents favored the development of a CPOE system mainly for the safety and Regulatory Problems. 94% of respondents favored the presence of a pharmacist on ward.
Physicians are likely to support CPOE even if they are non current users. The addition of clinical pharmacists on the wards is important to the implementation success. This collaboration allows for user satisfaction and more inter dependability among professionals.
This article gives insight a small number of physicians' opinion regarding CPOE. The author introduces the idea that having pharmacists on the ward could help with physician resistance. While this could be a good idea, one must consider the financials behind making such a change.
This study lists no conflicts of interested and reports that no separate funding was obtained for this study.
A reason physicians might resist CPOE implementation is due to the unintended consequences that have been found with CPOEs.
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- SAllenet, Benoît, et al. "Physicians’ perception of CPOE implementation." International journal of clinical pharmacy 33.4 (2011): 656-664.http://www.ncbi.nlm.nih.gov/pubmed/21567278