Physicians' opinions about the value of laboratory test recording and nursing information systems

Abstract

Background: The implementation of Computerized Provider Order Entry (CPOE) systems has been proposed to improve healthcare quality and patient safety. These systems are designed to minimize medical errors, enhance decision-making, and streamline clinical workflows. However, their impact on healthcare professionals' workflows, particularly physicians and nurses, remains a subject of debate. This study aimed to evaluate the effects of CPOE systems on the workflows of physicians and nurses, with a focus on patient safety, interdepartmental workflows, professional relationships, and the quality of care provided to patients.
Methods:This study was conducted at a general teaching hospital, involving 145 nurses and 28 physicians. A structured questionnaire with a five-point Likert scale was distributed to assess perceptions of CPOE’s impact in four key areas: patient safety, interdepartmental workflows, professional relationships between physicians and nurses, and quality of care. Data were analyzed using SPSS, with descriptive statistics and t-tests employed to compare the perspectives of physicians and nurses.
Results: The study revealed a generally positive perception of CPOE's impact on patient safety and quality of care. Nurses expressed more favorable views on the system's effects on interdepartmental workflow and professional relationships compared to physicians. Significant differences were observed between the two groups in terms of the perceived time-saving benefits of CPOE and its impact on collaboration. While both groups agreed that CPOE enhanced patient safety, physicians were less enthusiastic about its role in improving interdepartmental coordination and efficiency.
Conclusion: Both physicians and nurses recognized the positive influence of CPOE on patient safety and care quality. However, differences in opinions regarding its impact on workflows and professional relationships were noted, with nurses having more favorable views. The findings suggest that addressing workflow disruptions and enhancing collaboration between healthcare professionals is crucial for optimizing the benefits of CPOE systems. A deeper understanding of healthcare workflows and organizational dynamics is essential for the successful design and implementation of such technologies.