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Introducing Physician Order Entry at a Major Academic Medical Center: I. Impact on Organizational Culture and Behavior.
Peer reviewed Peer reviewed
Massaro, Thomas A. – Academic Medicine, 1993
Implementation of the University of Virginia Medical Center's computerized system for mandatory recordkeeping of physician orders is discussed, focusing on administrative issues: delays, costs, disruption of work routine and behavior, and the need to bring in a senior management team. Recommendations are made for institutions with similar…
Descriptors: Attitudes, Case Studies, Computer Oriented Programs, Cost Effectiveness
Introducing Physician Order Entry at a Major Academic Medical Center: II. Impact on Medical Education.
Peer reviewed Peer reviewed
Massaro, Thomas A. – Academic Medicine, 1993
Implementation of the University of Virginia Medical Center's computerized system for mandatory recordkeeping of physician orders is discussed, focusing on issues raised among residents and physicians: time required for system use; changes in work responsibilities, patterns, and priorities; and attitudes. Recommendations are made for institutions…
Descriptors: Attitudes, Case Studies, Computer Oriented Programs, Cost Effectiveness
Evaluation of the VA's Pilot Program in Institutional Reorganization toward Primary and Ambulatory Care: Part II, A Study of Organizational Stresses and Dynamics.
Peer reviewed Peer reviewed
Rubenstein, Lisa V.; And Others – Academic Medicine, 1996
The process of change at the academic Sepulveda (California) Veterans' Administration hospital during implementation of a new ambulatory primary care program was examined through individual or focus group interviews with 63 managers, house officers, and patients. Major problems included administrative integration of in- and outpatient services;…
Descriptors: Change Strategies, College Outcomes Assessment, Educational Change, Efficiency