Cited by 233Electronic Health Records SystemsTechnology and Human Factors in Education and HealthHospital Admissions and Outcomes

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Controlled Trial of Direct Physician Order Entry: Effects on Physicians' Time Utilization in Ambulatory Primary Care Internal Medicine Practices

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Overhage, J. M., Perkins, S., Tierney, W. M., McDonald, C. J.·2001·Journal of the American Medical Informatics Association

DOI 10.1136/jamia.2001.0080361PMC PMC130081

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Abstract

OBJECTIVE: Direct physician order entry (POE) offers many potential benefits, but evidence suggests that POE requires substantially more time than traditional paper-based ordering methods. The Medical Gopher is a well-accepted system for direct POE that has been in use for more than 15 years. The authors hypothesized that physicians using the Gopher would not spend any more time writing orders than physicians using paper-based methods. DESIGN: A randomized controlled trial of POE using the Medical Gopher system in 11 primary care internal medicine practices. MEASUREMENTS: The authors collected detailed time use data using time motion studies of the physicians and surveyed their opinions about the POE system. RESULTS: The authors found that physicians using the Gopher spent 2.2 min more per patient overall, but when duplicative and administrative tasks were taken into account, physicians were found to have spent only 0.43 min more per patient. With experience, the order entry time fell by 3.73 min per patient. The survey revealed that the physicians believed that the system improved their patient care and wanted the Gopher to continue to be available in their practices. CONCLUSIONS: Little extra time, if any, was required for physicians to use the POE system. With experience in its use, physicians may even save time while enjoying the many benefits of POE.

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Authors: Overhage, J. M., Perkins, S., Tierney, W. M., & McDonald, C. J.
Affiliations: Regenstrief Institute (US)
Corresponding author: Overhage, J. M.
ORCID: Overhage, J. M.
Perkins, S.
Tierney, W. M.
McDonald, C. J.
Venue: Journal of the American Medical Informatics Association
Publisher: Oxford University Press (OUP)
Published: 2001-07-01
Volume: 8
Issue: 4
Pages: 361-371
ISSN: 1067-5027 (ISSN-L)
1527-974X
DOI: 10.1136/jamia.2001.0080361
PMC: PMC130081
OpenAlex: W1784750808
Cited by: 232
References: 33
Citations by year: 2026: 3 · 2025: 2 · 2024: 3 · 2023: 3 · 2021: 1 · 2020: 6 · 2019: 6 · 2018: 2 · 2017: 3 · 2016: 7 · 2015: 9 · 2014: 16 · 2013: 14 · 2012: 8
FWCI: 34.05
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: Journal of the American Medical Informatics Association (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Funders: U.S. National Library of Medicine (N01-LM-63546, N01-LM43510)
Topics: Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Technology and Human Factors in Education and Health
Health Sciences › Nursing › Leadership and Management › Hospital Admissions and Outcomes
Keywords: physician time use, internal medicine practice, time and motion study, physician experience, physician attitudes, electronic health records
MeSH terms: Attitude of Health Personnel, Attitude to Computers, Data Collection, Decision Making, Computer-Assisted, Hospital Information Systems, Humans, Microcomputers, Time and Motion Studies, Medical Records Systems, Computerized

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Controlled Trial of Direct Physician Order Entry: Effects on Physicians' Time Utilization in Ambulatory Primary Care Internal Medicine Practices

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