| Long AJ |
------>authors3_c=None ------>paper_class1=1 ------>Impact_Factor=None ------>paper_class3=1 ------>paper_class2=1 ------>vol=17 ------>confirm_bywho=jack ------>insert_bywho=jack ------>Jurnal_Rank=None ------>authors4_c=None ------>comm_author= ------>patent_EDate=None ------>authors5_c=None ------>publish_day=None ------>paper_class2Letter=None ------>page2=16 ------>medlineContent= ------>unit=E0700 ------>insert_date=20040519 ------>iam=5 ------>update_date=None ------>author=??? ------>change_event=4 ------>ISSN=None ------>authors_c=None ------>score=-32 ------>journal_name=Journal of Taiwan Medical Informatics ------>paper_name=Adaptive Electronic Medical Record Entry System ------>confirm_date=20060506 ------>tch_id=084004 ------>pmid=18760660 ------>page1=1 ------>fullAbstract=OBJECTIVE: To compare how nurses in two different paper-based systems perceive the impact of a computerized physician order entry (CPOE) system on their medication-related activities. SETTING: 13 non-surgical, adult inpatient wards in a Dutch academic hospital. METHODS: Questionnaire survey of 295 nurses before and 304 nurses after the implementation of a CPOE system. These nurses worked with two different paper-based medication systems before the implementation: ~Kardex-system~ and ~TIMED-system~. In the Kardex-system, the structure of the nursing medication work was similar to that of after the CPOE implementation, while in the TIMED-system, it was different. ~Adaptive Structuration Theory~ (AST) was used to interpret the results. RESULTS: The response rates were 52.2% (154/295) before and 44.7% (136/304) after the implementation. Kardex-nurses reported more positive effects than TIMED-nurses. TIMED-nurses reported that the computerized system was more inflexible, more difficult to work with, and slower than the TIMED-system. In the TIMED group, the overall mean score of the computerized process was not significantly different from that of the paper-based process. Moreover, nurses in both groups were more satisfied with the post-implementation process than with the pre-implementation process. Nevertheless, none of groups reported a better workflow support in the computerized system when compared to that of the paper-based systems. CONCLUSIONS: Our findings suggest that not only the technology but also large differences between pre- and post-implementation work structure influence the perceptions of users, and probably make the transition more difficult. This study also suggests that greater satisfaction with a system may not necessarily be a reflection of better workflow support. ------>tmu_sno=None ------>sno=9387 ------>authors2=Liu CT ------>authors3=Chang PL ------>authors4=Hsu MH ------>authors5=Li YC ------>authors6=Jian WS ------>authors6_c=None ------>authors=Long AJ ------>delete_flag=0 ------>SCI_JNo=None ------>authors2_c=None ------>publish_area=None ------>updateTitle=Same system, different outcomes: comparing the transitions from two paper-based systems to the same computerized physician order entry system. ------>language=2 ------>check_flag=None ------>submit_date=None ------>country=None ------>no= ------>patent_SDate=None ------>update_bywho=None ------>publish_year=2003 ------>submit_flag=None ------>publish_month=None |