{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T18:48:21Z","timestamp":1791830901268,"version":"4.3.4"},"reference-count":30,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T00:00:00Z","timestamp":1791763200000},"content-version":"vor","delay-in-days":33,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,9,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Health systems can be vulnerable to \u201cshiny object syndrome,\u201d adopting unneeded emerging technologies (ETs), or may ignore \u201cred flags\u201d if they rely on linear health technology procurement processes that exclude the influence of information exchanges between the health system, vendors, and industry partners.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conduct a post-hoc comparison of 2 procured communication-related clinical workflow ETs and examine ET-related IT Committee meetings within an academic medical center. We apply sensemaking theory, highlighting examples where sense-giving, sense-demanding, and sense-breaking were present or absent across stakeholders during procurement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Present (or absent) sensemaking dynamics demonstrated reciprocity (or lack thereof) across all 3 sensemaking components. Sense-breaking particularly informed committee meetings, leading to new technological and organizational infrastructure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our emergent sensemaking ET procurement framework offers 3 actionable recommendations: formalize multi-stakeholder information exchange roles, treat vendor responsiveness to sense-demanding as a selection criterion, and use each procurement cycle to surface and address foundational governance and infrastructure gaps.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/jamiaopen\/ooag201","type":"journal-article","created":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T11:42:03Z","timestamp":1790941323000},"source":"Crossref","is-referenced-by-count":0,"title":["Avoiding \u201cshiny objects\u201d and heeding \u201cred flags\u201d: a sensemaking framework for emerging technology procurement"],"prefix":"10.1093","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7754-2575","authenticated-orcid":false,"given":"Wiljeana","family":"Glover","sequence":"first","affiliation":[{"name":"Kletjian Foundation Distinguished Professor of Health Innovation and Entrepreneurship, Operations and Information Management Division, Babson College , Wellesley, MA 02457,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1373-1553","authenticated-orcid":false,"given":"Dessislava","family":"Pachamanova","sequence":"additional","affiliation":[{"name":"Zwerling Family Endowed Term Chair, Mathematics, Analytics, Science and Technology Division, Babson College , Wellesley, MA 02457,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Derick R","family":"Simmons","sequence":"additional","affiliation":[{"name":"Doctoral Candidate, Saint Louis University , St. Louis, Missouri 63103,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robin","family":"Sodano","sequence":"additional","affiliation":[{"name":"Senior Vice President, Information Services, UMass Memorial Health , Worcester, MA 01605,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Alper","sequence":"additional","affiliation":[{"name":"Chief Quality Officer, Chief Clinical Informatics Officer, UMass Memorial Health , Worcester, MA 01605,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,10,12]]},"reference":[{"key":"2026101214320520900_ooag201-B1","doi-asserted-by":"publisher","first-page":"866","DOI":"10.1093\/jamia\/ocae006","article-title":"A national survey of digital health company experiences with electronic health record application programming 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