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International Journal of Clinical Pharmacy

, Volume 33, Issue 4, pp 656–664 | Cite as

Physicians’ perception of CPOE implementation

  • Benoît AllenetEmail author
  • Pierrick Bedouch
  • Stéphanie Bourget
  • Magalie Baudrant
  • Luc Foroni
  • Jean Calop
  • Jean-Luc Bosson
Research Article

Abstract

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.

Keywords

Clinical pharmacist Computerized physician order entry Drug safety Expectations Hospital information systems Physician 

Notes

Acknowledgments

We thank Alison Foote (PhD, Clinical Research Center—INSERM CIC3, Grenoble University Hospital) for editing the text.

Conflicts of interest

None.

Funding

No separate funding was obtained for this study. Authors are researchers and/or practitioners at the University of Grenoble and at the Grenoble University Hospital, which thus have contributed to financing the study.

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Copyright information

© Springer Science+Business Media B.V. 2011

Authors and Affiliations

  • Benoît Allenet
    • 1
    • 2
    Email author
  • Pierrick Bedouch
    • 2
  • Stéphanie Bourget
    • 3
  • Magalie Baudrant
    • 2
  • Luc Foroni
    • 3
  • Jean Calop
    • 4
  • Jean-Luc Bosson
    • 5
  1. 1.Pôle de Pharmacie—Pavillon Moidieu, CHU de GrenobleGrenoble Cedex 9France
  2. 2.Pharmacy DepartmentGrenoble University Hospital, UJF-Grenoble 1/CNRS/TIMC-IMAG UMR 5525/ThemasGrenobleFrance
  3. 3.Pharmacy DepartmentGrenoble University HospitalGrenobleFrance
  4. 4.Pharmacy DepartmentGrenoble University Hospital & ThEMAS TIMC UMR CNRS 5525, Joseph Fourier UniversityGrenobleFrance
  5. 5.Department of the Biostatistics and Medical Informatics, Clinical Research CenterGrenoble University Hospital & UJF-Grenoble 1/CNRS/TIMC-IMAG UMR 5525/ThemasGrenobleFrance

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