Clinical problem lists in the electronic health record

By Wright, Adam (Assistant professor of medicine)

Subjects: Prise de décision, Reference, Alternative Medicine, Osteopathy, HEALTH & FITNESS, Family & General Practice, Decision making, Holistic Medicine, Clinical medicine, Computerized Medical Records Systems, Essays, Holism, Medical Records, Problem-Oriented, Informatique, Medical records, Atlases, Electronic Health Records, Data processing, Dossiers médicaux, Clinical Medicine, MEDICAL, Organization & administration, Médecine clinique

Description: Pt. I. History and importance -- Bringing science to medicine : an interview with Larry Weed, inventor of the problem-oriented medical record -- Medical records that guide and teach -- Clinical implications of an accurate problem list on heart failure treatment -- pt. II. Attitudes and use -- Clinician attitudes toward and use of electronic problem lists : a thematic analysis -- Healthcare provider attitudes towards the problem list in an electronic health record : a mixed-methods qualitative study -- Use of an electronic problem list by primary care providers and specialists -- Distribution of problems, medications and lab results in electronic health records : the Pareto principle at work -- pt. III. Improving the problem list -- An automated technique for identifying associations between medications, laboratory results and problems -- A method and knowledge base for automated inference of patient problems from structured data in an electronic medical record -- Improving completeness of electronic problem lists through clinical decision support : a randomized, controlled trial -- Computerized physician order entry of medications and clinical decision support can improve problem list documentation compliance -- Randomized controlled trial of an automated problem list with improved sensitivity -- pt. IV. Applications of the problem list -- Incomplete care : on the trail of flaws in the system -- Leveraging electronic health records to support chronic disease management : the need for temporal data views -- Indication-based prescribing prevents wrong-patient medication errors in computerized provider order entry (CPOE).- -