Student Dissertation

Agency : COIPE; Healthcare Delivery Systems; Computerized Provider Order Entry; Evaluation; KAP

Objective : The purpose of this study was to assess the extent of adoption of CPOE in healthcare delivery setups specific to Bengaluru and assess the Usability, Knowledge, Attitude and Practice of the end users of CPOE. The study also aimed to identify the issues and challenges in using the CPOE.

Background : Computerized Provider Order Entry (CPOE) is an application which enables the end users mostly physicians to prescribe orders electronically.

Methodology : The study design was descriptive cross sectional. The tools which were used in data collection were a close ended checklist to assess the extent of CPOE adoption in the healthcare delivery setups and a close ended questionnaire to assess the Usability, Knowledge, Attitude and Practice of the end users of CPOE. The checklist consisted of four parameters namely, extent of adoption, education and training, support and maintenance, and leadership in the organization. These four parameters had five sub parameter each and based on the analysis, extent of CPOE adoption was measured. The questionnaire for the end user consisted of four parameters namely, Usability, Knowledge, Attitude and Practice out of which each were divided into sub parameters. The questionnaire was based on Likert scale.

Findings : The maximum extent of CPOE adoption was in Hospital B and the minimum was found in Hospital E. Hospital B was a multi-specialty hospital with a bed strength between 21 to 100 and had two accreditations whereas Hospital E was a daycare center with less than 20 bed strength and no accreditation. For further analysis, Fisher Exact test was done, and the study showed that the Usability, Knowledge, Attitude and Practice level was higher for users who placed more than twenty orders using computers in a day as compared to the users who placed less than twenty orders using computers in a day. The result also showed that respondents who were in physician’s role had higher Usability, Knowledge, Attitude and Practice level as compared to respondents who were in nursing staff and other allied health staff role.

Recommendations : The extent of CPOE adoption is dependent upon the kind of specialty services a healthcare delivery setup is providing. The usability, knowledge, attitude and practice level of end users depend upon the qualification and role of the end user in the organization. CPOE is a powerful tool which can be utilized to improve patient.


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