Sustained User Engagement in Health Information Technology: The Long Road from Implementation to System Optimization of Computerized Physician Order Entry and Clinical Decision Support Systems for Prescribing in Hospitals in England.

ABSTRACT:

Objective

To explore and understand approaches to user engagement through investigating the range of ways in which health care workers and organizations accommodated the introduction of computerized physician order entry (CPOE) and computerized decision support (CDS) for hospital prescribing.

Study setting

Six hospitals in England, United Kingdom.

Study design

Qualitative case study.

Data collection

We undertook qualitative semi-structured interviews, non-participant observations of meetings and system use, and collected organizational documents over three time periods from six hospitals. Thematic analysis was initially undertaken within individual cases, followed by cross-case comparisons.

Findings

We conducted 173 interviews, conducted 24 observations,

SUBMITTER: Cresswell KM 

PROVIDER: S-EPMC5583302 | biostudies-literature | 2017 Oct

REPOSITORIES: biostudies-literature