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J Am Med Inform Assoc 12:554-560 doi:10.1197/jamia.M1839
  • Original Investigation

The Effect of Computerized Provider Order Entry on Medical Student Clerkship Experiences

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.”

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