Adding insight: a qualitative cross-site study of physician order entry.

Joan S. Ash, Dean F. Sittig, Veena Seshadri, Richard H. Dykstra, James D. Carpenter, P. Zoe Stavri

Research output: Chapter in Book/Report/Conference proceedingChapter


The research questions, strategies, and results of a six-year qualitative study of computerized physician order entry implementation (CPOE) at successful sites are reviewed over time. The iterative nature of qualitative inquiry stimulates a consecutive stream of research foci which, with each iteration, add further insight into the overarching research question. A multidisciplinary team of researchers studied CPOE implementation in four organizations using a multi-method approach to address the question "what are the success factors for implementing CPOE?" Four major themes emerged after studying three sites; ten themes resulted from blending the first results with those from a fourth site; and twelve principles were generated when results of a qualitative analysis of consensus conference transcripts were combined with the field data. The study has produced detailed descriptions of factors related to CPOE success and insight into the implementation process.

Original languageEnglish (US)
Title of host publicationMedinfo. MEDINFO
Number of pages5
EditionPt 2
StatePublished - 2004
Externally publishedYes


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