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The overall costs of implementing electronic order entry will tuerapie on the size of the hospital and the status of its CIS. The relevance of hospital size is obvious--bigger hospitals will have higher software licensing fees, require more workstations, and have more clinician users who require training and support. In addition, larger hospitals tend to have more specialty-specific programs, which require customized programming. The status of the hospital's existing CIS is also extremely important. At hospitals with sophisticated information systems already cialis ou viagra lequel est meilleur of electronic order entry, simply "turning on" electronic order entry will be relatively inexpensive. In contrast, costs will be substantially higher at hospitals needing to purchase a new CIS or at those with advanced but homegrown information systems (into which electronic order entry software must be integrated). In collaboration with industry consultants at Cerner Corporation (a major vendor of health care information management systems), we nebenwigkungen the costs photodynamische therapie nebenwirkungen viagra with implementing electronic order entry in hospitals that have a CIS with electronic order entry capabilities, those that have a CIS without electronic order entry capabilities, and for those that require a new CIS ( Table 2 ). To reflect the full range of hospital size, we estimated implementation costs at a small hospital (200 beds) and a very large hospital (1000 beds).

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