Table 4.
Barriers to Placing Orders*
| Comparison of Students Using CPOE to Students Using Paper Orders |
Comparison of Students at Hospitals Using CPOE to Each Other |
|||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| CPOE (n = 92) |
Paper (n = 44) |
Hospital A (n = 69) |
Hospital B/CPOE (n = 23) |
|||||||
| Median | %‡ | Median | %‡ | p | Median | %‡ | Median | %‡ | p | |
| Resident or intern did not want me to write or enter orders. | 2 | 40.0 | 1 | 16.3 | <0.01 | 2 | 47.8 | 1 | 17.3 | <0.01 |
| It took too long for the resident or intern to review orders I wrote. | 2 | 32.6 | 1 | 11.9 | <0.01 | 2 | 33.3 | 2 | 30.4 | 0.87 |
| Resident or intern entered orders while I was unavailable. | 4 | 88.9 | 3 | 74.5 | 0.11 | 3 | 85.1 | 4 | 100.0 | 0.07 |
| Difficulty finding a free computer terminal. | 1 | 6.6 | — | — | — | 1 | 8.8 | 1 | 0.0 | 0.22 |
| Resident or intern did not know how to electronically cosign my orders. | 1 | 18.9 | — | — | — | 1 | 11.9 | 2 | 39.1 | <0.01 |
| Inadequate training on the computer ordering system. | 2 | 21.4 | — | — | — | 2 | 22.8 | 1 | 17.3 | 0.49 |
| Computer ordering system difficult to use. | 2 | 35.5 | — | — | — | 2 | 40.3 | 2 | 21.7 | 0.04 |
*
Four-point Likert scale: 1 = none, 2 = a little, 3 = a moderate amount, 4 = a lot.
‡
Percentage reporting that the barrier affected their having the ability to write or enter orders “a moderate amount” or “a lot.”