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First published March 28, 2003 as JAMIA PrePrint; doi:10.1197/jamia.M1208
Journal of the American Medical Informatics Association 2003;10(4):315-321
© 2003 American Medical Informatics Association

A more recent version of this article appeared on July 1, 2003
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Submitted on August 20, 2002
Accepted on March 4, 2003

Involving Users in the Implementation of an Imaging Order Entry System

David M. Schuster MD1*, Suzanne E. Hall MD2, Carole B. Couse MSN, CAC3, Debra S. Swayngim RHIA, CAC3, and Keith Y. Kohatsu MD4

Affiliation of the authors: 1 Assistant Professor of Radiology and Nuclear Medicine, Department of Radiology, Division of Nuclear Medicine, Emory University Hospital, Atlanta, GA; 2 Surgery Service, VA Medical Center, Asheville, NC; 3 Information Resource Management, VA Medical Center, Asheville, NC; 4 Imaging Support Team, VA Medical Center, Asheville, NC

* To whom correspondence should be addressed.

Physician order entry is a powerful function of a computerized hospital information system. Although designed to be clinician driven, the imaging section of the order entry system may not be optimally designed to engage the clinician with imaging procedures logically organized for the clinician's typical work patterns. There also may be resistance among overburdened clinicians in having to take the time to learn a new computer system and to assume clerks' duties of entering imaging orders. A potential means to address clinician opposition is to cooperatively engage each clinical service in the design of an imaging order entry system with customized menus for each service. This manuscript reports a step-by-step process for the implementation of an imaging order entry system with specialized menus for an orthopedic service. This implementation process includes: 1) identification of key personnel; 2) familiarization with the system; 3) discussion and dialogue between key personnel; 4) addressing specific problems; 5) education and orientation of the target group; 6) initial implementation; 7) feedback and improvement; 8) demonstration project (time study) to foster acceptance; and 9) on-going enhancement.




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