乐胖代购免代理版

{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,5,14]],"date-time":"2024-05-14T05:53:50Z","timestamp":1715666030790},"reference-count":50,"publisher":"Oxford University Press (OUP)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,3,1]]},"abstract":"Abstract<\/jats:title>\n Objective To understand the evolving market of commercial off-the-shelf Computerized Physician Order Entry (CPOE) and Computerized Decision Support (CDS) applications and its effects on their uptake and implementation in English hospitals.<\/jats:p>\n Methods Although CPOE and CDS vendors have been quick to enter the English market, uptake has been slow and uneven. To investigate this, the authors undertook qualitative ethnography of vendors and adopters of hospital CPOE\/CDS systems in England. The authors collected data from semi-structured interviews with 11 individuals from 4 vendors, including the 2 most entrenched suppliers, and 6 adopter hospitals, and 21\u2009h of ethnographic observation of 2 user groups, and 1 vendor event. The research and analysis was informed by insights from studies of the evolution of technology fields and the emergence of generic COTS enterprise solutions.<\/jats:p>\n Results Four key themes emerged: (1) adoption of systems that had been developed outside of England, (2) vendors\u2019 configuration and customization strategies, (3) localized adopter practices vs generic systems, and (4) unrealistic adopter demands. Evidence for our over-arching finding concerning the current immaturity of the market was derived from vendors\u2019 strategies, adopters\u2019 reactions to the technology, and policy makers\u2019 incomplete insights.<\/jats:p>\n Conclusions The CPOE\/CDS market in England is still in an emergent phase. The rapid entrance of diverse products, triggered by federal policy initiatives, has resulted in premature adoption of systems that do not yet adequately meet the needs of hospitals. Vendors and adopters lacked understanding of how to design and implement generic solutions to meet diverse user needs.<\/jats:p>","DOI":"10.1093\/jamia\/ocv095","type":"journal-article","created":{"date-parts":[[2015,9,4]],"date-time":"2015-09-04T00:34:06Z","timestamp":1441326846000},"page":"349-355","source":"Crossref","is-referenced-by-count":20,"title":["The evolution of the market for commercial computerized physician order entry and computerized decision support systems for prescribing"],"prefix":"10.1093","volume":"23","author":[{"given":"Hajar","family":"Mozaffar","sequence":"first","affiliation":[{"name":"Centre for Medical informatics, Usher Institute of Population Health Sciences and Informatics, The University of Edinburgh, Edinburgh, UK"}]},{"given":"Robin","family":"Williams","sequence":"additional","affiliation":[{"name":"Institute for the Study of Science, Technology and Innovation, The University of Edinburgh, Edinburgh, UK"}]},{"given":"Kathrin","family":"Cresswell","sequence":"additional","affiliation":[{"name":"Centre for Medical informatics, Usher Institute of Population Health Sciences and Informatics, The University of Edinburgh, Edinburgh, UK"}]},{"given":"Zoe","family":"Morrison","sequence":"additional","affiliation":[{"name":"Business School, University of Aberdeen, Aberdeen, UK"}]},{"given":"David W.","family":"Bates","sequence":"additional","affiliation":[{"name":"Center for Patient Safety Research and Practice, Brigham and Women\u2019s Hospital and Harvard Medical School, Boston, USA"}]},{"given":"Aziz","family":"Sheikh","sequence":"additional","affiliation":[{"name":"Centre for Medical informatics, Usher Institute of Population Health Sciences and Informatics, The University of Edinburgh, Edinburgh, UK"},{"name":"Center for Patient Safety Research and Practice, Brigham and Women\u2019s Hospital and Harvard Medical School, Boston, USA"}]}],"member":"286","published-online":{"date-parts":[[2015,9,2]]},"reference":[{"key":"2020110613024174800_ocv095-B1","doi-asserted-by":"crossref","first-page":"1311","DOI":"10.1001\/jama.280.15.1311","article-title":"Effect of computerized physician order entry and a team intervention on prevention of serious medication errors","volume":"280","author":"Bates","year":"1998","journal-title":"JAMA."},{"key":"2020110613024174800_ocv095-B2","doi-asserted-by":"crossref","first-page":"404","DOI":"10.1377\/hlthaff.28.2.404","article-title":"Implementation of computerized physician order entry in seven countries","volume":"28","author":"Aarts","year":"2009","journal-title":"Health Aff."},{"key":"2020110613024174800_ocv095-B3","doi-asserted-by":"crossref","first-page":"e92516","DOI":"10.1371\/journal.pone.0092516","article-title":"Product diversity and spectrum of choice in hospital ePrescribing systems in England","volume":"9","author":"Mozaffar","year":"2014","journal-title":"PloS ONE."},{"issue":"1","key":"2020110613024174800_ocv095-B4","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0053369","article-title":"Investing and learning lessons from early experiences of implementing ePrescribing Systems into NHS Hospitals: A Questionnaire Study","volume":"8","author":"Cresswell","year":"2013","journal-title":"PLoS ONE."},{"key":"2020110613024174800_ocv095-B5","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1136\/qshc.2006.018192","article-title":"Improving general practice computer systems for patient safety: qualitative study of key stakeholders","volume":"16","author":"Avery","year":"2007","journal-title":"Qual Saf Health Care."},{"key":"2020110613024174800_ocv095-B6","doi-asserted-by":"crossref","first-page":"1171","DOI":"10.1136\/bmj.328.7449.1171","article-title":"Prescribing safety features of general practice computer systems: evaluation using simulated test cases","volume":"328","author":"Fernando","year":"2004","journal-title":"BMJ."},{"key":"2020110613024174800_ocv095-B7","first-page":"343","article-title":"Implementation and adoption of nationwide electronic health records in secondary care in England: final qualitative results from prospective national evaluation in \u201cearly adopter\u201d hospitals","author":"Sheikh","year":"2011","journal-title":"BMJ."},{"key":"2020110613024174800_ocv095-B8","doi-asserted-by":"crossref","first-page":"434","DOI":"10.1258\/jrsm.2011.11k039","article-title":"The rise and fall of England's National Programme for IT","volume":"104","author":"Robertson","year":"2011","journal-title":"JRSM."},{"key":"2020110613024174800_ocv095-B9","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1057\/palgrave.jit.2000104","article-title":"The biggest computer programme in the world ever! 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