Gallagher Joan, Rogala Jennifer L, Pham Lisa, Fitzpatrick Patricia, Riese Susan, Barnes Kelly, Soderberg Nicole, Glynn Cathleen, Friedmann Alison
Clinical Systems Management, Partners HealthCare Systems, Boston, MA, USA.
Stud Health Technol Inform. 2006;122:902.
Since August 1996, the oncology clinicians at Massachusetts General Hospital (MGH) have been using an in-house developed CPOE system to order chemotherapy for their adult population. While the pediatric chemotherapy ordering remained on paper until November 2003, designing the pediatric chemotherapy functionality into the existing CPOE product proved to be very challenging. It was helpful in one sense because there was an existing framework that was familiar to everyone. It was also restrictive, in the sense that it is hard to enhance it without impacting others already using the same system.
自1996年8月以来，麻省总医院（MGH）的肿瘤临床医生一直在使用内部开发的CPOE系统为成年患者订购化疗药物。而儿科化疗订单直到2003年11月仍采用纸质形式，将儿科化疗功能设计到现有的CPOE产品中被证明极具挑战性。从某种意义上说这是有帮助的，因为存在一个大家都熟悉的现有框架。但它也具有局限性，即很难在不影响其他已经在使用同一系统的人的情况下对其进行改进。
