Valera Rubio M1, Marcos Pérez G1, Recuero Galve L1, Martí Gil C1, Sánchez Gundín J1, Barreda Hernández D2
1 Especialista en Farmacia Hospitalaria
2 Jefe de Servicio de Farmacia
Hospital Virgen de la Luz. Gerencia de Atención Integrada de Cuenca (España)
Rev. OFIL 2016, 26;4:294-300
Fecha de recepción: 04/01/2016 – Fecha de aceptación: 15/05/2016
Marta Valera Rubio
Hermandad Donantes de Sangre, s/n
Correo electrónico: firstname.lastname@example.org
Purpose: To gather information on the opinions of medical and nursing staff, experienced as well as unexperienced ones in computerized physician order entry (CPOE) system, about its functionality, its effect on patient safety and productivity, and the perception of the influence of this system on prescription errors and pharmacy interventions in our hospital.
Methods: Cross-sectional study carried out in December 2014 in a second-level hospital with several systems of prescription (manual and electronic) before implementation of CPOE in one of the hospital units. A Likert scale-based survey was filled out anonymously by the hospital staff in different units, in disparate situations in relation to the implementation of CPOE, to assess the opinion of doctors and nurses about CPOE. Results were analysed and compared from these surveys. Furthermore, differences with other surveys that were filled out in 2010 were studied using descriptive and inferential statistical methods.
Results: We analysed 111 surveys (61 nurses, 50 physicians). Regardless of their experience, nurses viewed positively the contributions of CPOE to the improvement of patient safety.
Concerning usability, there was statistically significant difference in the score given by nurses, which was worse before the first implementation of CPOE in the hospital.
5-year experienced doctors in CPOE assigned a better score as much on patient safety-related items as on the usability-related items. The overall rating for doctors was worse than for nursing staff, and this difference was statistically significant.
Conclusions: Implementation of CPOE is a process with very good outcomes of satisfaction among hospital staff which are even better once doctors and nurses identify its advantages and acquiring skills in working with this system.
Key Words: Computerized physician order entry, usability, safety, survey, evaluation.