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Considering the Language of Computerized Order Entry Systems.

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This summary is machine-generated.

Analyzing Computerized Provider Order Entry (CPOE) systems through language reveals communication challenges. Current research overemphasizes pragmatics, neglecting syntax and semantics, hindering a full understanding of CPOE system issues.

Keywords:
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Area of Science:

  • Health Informatics
  • Clinical Communication
  • Human-Computer Interaction

Background:

  • Computerized Provider Order Entry (CPOE) systems are integral to modern healthcare but can introduce clinical problems.
  • The communication-intensive nature of CPOE necessitates analyzing its linguistic aspects to understand system function and failures.
  • Existing literature on CPOE often overlooks detailed linguistic analysis.

Purpose of the Study:

  • To review the CPOE literature (up to November 2015) using linguistic concepts: syntax, semantics, and pragmatics.
  • To identify and categorize language-related themes within CPOE research.
  • To guide future research by highlighting gaps in linguistic analysis of CPOE systems.

Main Methods:

  • Systematic review of CPOE literature, focusing on language concepts.
  • Analysis of 202 articles, with 46 undergoing full review.
  • Extraction and categorization of 145 language-related findings into five groups: syntax, semantics, system-pragmatics, syntax-pragmatics, and semantic-pragmatics.

Main Results:

  • Key themes synthesized from extracted language concepts.
  • Identified five categories of language-related findings within CPOE literature.
  • Discovered a significant bias in current literature towards pragmatic concerns, with less attention paid to syntax and semantics.

Conclusions:

  • The study supports using linguistic analysis, including syntax and semantics, to better understand CPOE system interactions.
  • Future research should address the under-exploration of syntactic and semantic aspects in CPOE systems.
  • A comprehensive linguistic approach is crucial for analyzing actor interactions in communication-intensive systems like CPOE.