The study took place at a multi-hospital system in suburban Chicago. The system has about 1,000 physicians on staff and with privileges. The goal was to understand the challenges to physician engagements during implementation of a computerized physician order entry system. The EHR system was one of the top solutions but not the leading solution. This minimized any ‘halo effect’ from physicians’ acceptance just because it was the leading solution.
The study observed over 600 of the 1,000 physicians as they entered orders in almost all hospital units including: intensive care, transitional care, telemetry, cardiac care, catheter lab, day surgery and labor and delivery. Physicians observed were from a variety of specialties, including: internal medicine, cardiology, oncology, hematology, neurology and cardiovascular surgery. The study produced 125 representative comments and behaviors. The same or similar comment or behavior may have been observed by multiple physicians.
Observations were classified into three categories: process (how something is done), system (the EHR solution) or technology (the physical hardware or solution access). Some observations were classified into multiple classifications.