Abstract
Background: Computerized Physician Order Entry (CPOE) systems in healthcare settings have many benefits for prescribing medication, such as improved quality of patient care and patient safety. However, to achieve their full potential, the factors influencing physicians’ utilization of CPOE systems must be identified and understood.
Objective: This study’s objective was to identify the factors influencing physicians’ utilization of COPE systems for medication prescribing in their clinical practice.
Methods: We conducted a systematic search of the research literature on this topic using 4 databases: PubMed, CINAHL, Ovid Medline, and EMBASE. Searches were performed from September 2019 to December 2019. Retrieved articles were screened by examining the titles and abstracts of relevant studies; two reviewers screened the full text of potentially relevant articles for inclusion in the review. Qualitative, quantitative, and mixed-methods studies with the aims of conducting assessments or investigations of factors influencing the use of CPOE for medication prescribing among physicians were included. The identified factors were grouped based on constructs from two models: The Unified Theory of Acceptance and Use of Technology Model and the Delone and McLean Information Systems Success Model. We used the Mixed Method Appraisal Tool to assess the quality of the included studies and narrative synthesis to report the results.
Results: Eleven articles were included in the review, and 37 factors related to the usage of CPOE systems were identified as factors influencing how physicians used CPOE for medication prescribing. These factors represented 3 main themes: individual factors, technological factors, and organizational factors.
Conclusion: This review identified common factors that influenced physicians’ use of CPOE for medication prescribing regardless of type of setting or the duration of the system’s use by the participants. Our findings can be used to inform implementation and to support physicians’ use of the CPOE system.
Objective: This study’s objective was to identify the factors influencing physicians’ utilization of COPE systems for medication prescribing in their clinical practice.
Methods: We conducted a systematic search of the research literature on this topic using 4 databases: PubMed, CINAHL, Ovid Medline, and EMBASE. Searches were performed from September 2019 to December 2019. Retrieved articles were screened by examining the titles and abstracts of relevant studies; two reviewers screened the full text of potentially relevant articles for inclusion in the review. Qualitative, quantitative, and mixed-methods studies with the aims of conducting assessments or investigations of factors influencing the use of CPOE for medication prescribing among physicians were included. The identified factors were grouped based on constructs from two models: The Unified Theory of Acceptance and Use of Technology Model and the Delone and McLean Information Systems Success Model. We used the Mixed Method Appraisal Tool to assess the quality of the included studies and narrative synthesis to report the results.
Results: Eleven articles were included in the review, and 37 factors related to the usage of CPOE systems were identified as factors influencing how physicians used CPOE for medication prescribing. These factors represented 3 main themes: individual factors, technological factors, and organizational factors.
Conclusion: This review identified common factors that influenced physicians’ use of CPOE for medication prescribing regardless of type of setting or the duration of the system’s use by the participants. Our findings can be used to inform implementation and to support physicians’ use of the CPOE system.
| Original language | English |
|---|---|
| Journal | JOURNAL OF MEDICAL INTERNET RESEARCH |
| Publication status | Accepted/In press - 8 Dec 2020 |