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With this implementation, physicians now enter all orders directly into the ED information system via desktop computers.
To assist implementation, physicians should encourage and support patients through the behavior modification process.
Before CPOE implementation, physicians wrote medication orders on paper; nurses then faxed the orders to the ICU satellite pharmacy; the pharmacist would screen the order, make necessary adjustments after consulting with the prescribing physician if needed, transcribe the order and dispense the medication.
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Profile 3 physicians had more SIPA patients in their clienteles, were more satisfied by the IHNS implementation (physician recruitment and the information provided), and were contacted more by the case managers during the project.
One essential factor in successful implementation is physicians' faith in the guidelines, particularly reflected in the common physician concerns about the relevance of guideline for patients and the loss of autonomy in treatment decision making.
The decision-making process over EMR implementation by physicians is influenced by these parties and will also affect the relationship between physicians and patients.
One essential factor in successful implementation is physicians' faith in the algorithm itself, particularly in light of the common physician concern about losing autonomy in treatment decision-making [ 15].
To optimize appropriate antimicrobial use in a university hospital and identify barriers hampering implementation strategies, physicians were interviewed regarding their opinions on antimicrobial policies.
After a year of policy implementation, more physicians reported they were smoking in outside locations (55.8% to 58.4%), however, the increase was not significant (chi = 0.44, p = 0.51).
When we asked participants about guideline implementation, 23 physicians replied that they had already adopted the recommendation to "prescribe the drugs with adequate informed consent" prior to reading the guidelines.
The use of a predefined framework of barriers to implementation triggered physicians to think about a broad range of barriers and potential interventions to improve guideline acceptance and guideline adherence [ 28].
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