Implementation of computerized physician order entry in National Guard hospitals: Assessment of critical success factors
Objective: The purpose of this study is to describe the needs, process and experience of implementing a computerized physician order entry (CPOE) system in a leading healthcare organization in Saudi Arabia. Materials and Methods: The National Guard Health Affairs (NGHA) deployed the CPOE in a pilot...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2011-01-01
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| Series: | Journal of Family and Community Medicine |
| Subjects: | |
| Online Access: | http://www.jfcmonline.com/article.asp?issn=2230-8229;year=2011;volume=18;issue=3;spage=143;epage=151;aulast=Altuwaijri |
| _version_ | 1828485208154832896 |
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| author | Majid M Altuwaijri Abdullah Bahanshal Mona Almehaid |
| author_facet | Majid M Altuwaijri Abdullah Bahanshal Mona Almehaid |
| author_sort | Majid M Altuwaijri |
| collection | DOAJ |
| description | Objective: The purpose of this study is to describe the needs, process and experience of implementing a computerized physician order entry (CPOE) system in a leading healthcare organization in Saudi Arabia. Materials and Methods: The National Guard Health Affairs (NGHA) deployed the CPOE in a pilot department, which was the intensive care unit (ICU) in order to assess its benefits and risks and to test the system. After the CPOE was implemented in the ICU area, a survey was sent to the ICU clinicians to assess their perception on the importance of 32 critical success factors (CSFs) that was acquired from the literature. The project team also had several meetings to gather lessons learned from the pilot project in order to utilize them for the expansion of the project to other NGHA clinics and hospitals. Results: The results of the survey indicated that the selected CSFs, even though they were developed with regard to international settings, are very much applicable for the pilot area. The top three CSFs rated by the survey respondents were: The "before go-live" training, the adequate clinical resources during implementation, and the ordering time. After the assessment of the survey and the lessons learned from the pilot project, NGHA decided that the potential benefits of the CPOE are expected to be greater the risks expected. The project was then expanded to cover all NGHA clinics and hospitals in a phased approach. Currently, the project is in its final stages and expected to be completed by the end of 2011. Conclusion: The role of CPOE systems is very important in hospitals in order to reduce medication errors and to improve the quality of care. In spite of their great benefits, many studies suggest that a high percentage of these projects fail. In order to increase the chances of success and due to the fact that CPOE is a clinical system, NGHA implemented the system first in a pilot area in order to test the system without putting patients at risk and to learn from mistakes before expanding the system to other areas. As a result of the pilot project, NGHA developed a list of CSFs to increase the likelihood of project success for the expansion of the system to other clinics and hospitals. The authors recommend a future study for the CPOE implementation to be done that covers the implementation in all the four NGHA hospitals. The results of the study can then be generalized to other hospitals in Saudi Arabia. |
| first_indexed | 2024-12-11T09:10:05Z |
| format | Article |
| id | doaj.art-58fd4fcc1f4c40cc9207ebe3b5242510 |
| institution | Directory Open Access Journal |
| issn | 2230-8229 2229-340X |
| language | English |
| last_indexed | 2024-12-11T09:10:05Z |
| publishDate | 2011-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Family and Community Medicine |
| spelling | doaj.art-58fd4fcc1f4c40cc9207ebe3b52425102022-12-22T01:13:32ZengWolters Kluwer Medknow PublicationsJournal of Family and Community Medicine2230-82292229-340X2011-01-0118314315110.4103/2230-8229.90014Implementation of computerized physician order entry in National Guard hospitals: Assessment of critical success factorsMajid M AltuwaijriAbdullah BahanshalMona AlmehaidObjective: The purpose of this study is to describe the needs, process and experience of implementing a computerized physician order entry (CPOE) system in a leading healthcare organization in Saudi Arabia. Materials and Methods: The National Guard Health Affairs (NGHA) deployed the CPOE in a pilot department, which was the intensive care unit (ICU) in order to assess its benefits and risks and to test the system. After the CPOE was implemented in the ICU area, a survey was sent to the ICU clinicians to assess their perception on the importance of 32 critical success factors (CSFs) that was acquired from the literature. The project team also had several meetings to gather lessons learned from the pilot project in order to utilize them for the expansion of the project to other NGHA clinics and hospitals. Results: The results of the survey indicated that the selected CSFs, even though they were developed with regard to international settings, are very much applicable for the pilot area. The top three CSFs rated by the survey respondents were: The "before go-live" training, the adequate clinical resources during implementation, and the ordering time. After the assessment of the survey and the lessons learned from the pilot project, NGHA decided that the potential benefits of the CPOE are expected to be greater the risks expected. The project was then expanded to cover all NGHA clinics and hospitals in a phased approach. Currently, the project is in its final stages and expected to be completed by the end of 2011. Conclusion: The role of CPOE systems is very important in hospitals in order to reduce medication errors and to improve the quality of care. In spite of their great benefits, many studies suggest that a high percentage of these projects fail. In order to increase the chances of success and due to the fact that CPOE is a clinical system, NGHA implemented the system first in a pilot area in order to test the system without putting patients at risk and to learn from mistakes before expanding the system to other areas. As a result of the pilot project, NGHA developed a list of CSFs to increase the likelihood of project success for the expansion of the system to other clinics and hospitals. The authors recommend a future study for the CPOE implementation to be done that covers the implementation in all the four NGHA hospitals. The results of the study can then be generalized to other hospitals in Saudi Arabia.http://www.jfcmonline.com/article.asp?issn=2230-8229;year=2011;volume=18;issue=3;spage=143;epage=151;aulast=AltuwaijriComputerized physician order entrycritical success factorhealth information systemsSaudi hospitals |
| spellingShingle | Majid M Altuwaijri Abdullah Bahanshal Mona Almehaid Implementation of computerized physician order entry in National Guard hospitals: Assessment of critical success factors Journal of Family and Community Medicine Computerized physician order entry critical success factor health information systems Saudi hospitals |
| title | Implementation of computerized physician order entry in National Guard hospitals: Assessment of critical success factors |
| title_full | Implementation of computerized physician order entry in National Guard hospitals: Assessment of critical success factors |
| title_fullStr | Implementation of computerized physician order entry in National Guard hospitals: Assessment of critical success factors |
| title_full_unstemmed | Implementation of computerized physician order entry in National Guard hospitals: Assessment of critical success factors |
| title_short | Implementation of computerized physician order entry in National Guard hospitals: Assessment of critical success factors |
| title_sort | implementation of computerized physician order entry in national guard hospitals assessment of critical success factors |
| topic | Computerized physician order entry critical success factor health information systems Saudi hospitals |
| url | http://www.jfcmonline.com/article.asp?issn=2230-8229;year=2011;volume=18;issue=3;spage=143;epage=151;aulast=Altuwaijri |
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