Trial reportJournal of general internal medicine2012
Use of an electronic problem list by primary care providers and specialists.
Trial report in Journal of general internal medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.
- Electronic problem lists: a thematic analysis of a systematic literature review to identify aspects critical to success.Journal of the American Medical Informatics Association : JAMIA · 2018Pooled it
- Diabetes Screening Reminder for Women With Prior Gestational Diabetes: A Randomized Controlled Trial.Obstetrics and gynecology · 2015Trial
- Physicians' Use of Electronic Health Record Data Elements and Decision Support Tools in Heart Failure Management: User-Centered Cross-Sectional Survey Study.JMIR cardio · 2025Article
- Anatomy at Risk: An App for Evaluating Hand Lacerations and Planning Surgical Incisions.Journal of hand surgery global online · 2025Article
- Electronic health record and primary care physician self-reported quality of care: a multilevel study in China.Global health action · 2024Article
- Inaccurate recording of routinely collected data items influences identification of COVID-19 patients.International journal of medical informatics · 2022Article
- Comparing ascertainment of chronic condition status with problem lists versus encounter diagnoses from electronic health records.Journal of the American Medical Informatics Association : JAMIA · 2022Article
- Article
- Linking Provider Specialty and Outpatient Diagnoses in Medicare Claims Data: Data Quality Implications.Applied clinical informatics · 2021Article
- Data gaps in electronic health record (EHR) systems: An audit of problem list completeness during the COVID-19 pandemic.International journal of medical informatics · 2021Article
- Identifying cases of spinal cord injury or disease in a primary care electronic medical record database.The journal of spinal cord medicine · 2021Article
- User-centered design of a longitudinal care plan for children with medical complexity.Journal of the American Medical Informatics Association : JAMIA · 2020Article
- Characterizing outpatient problem list completeness and duplications in the electronic health record.Journal of the American Medical Informatics Association : JAMIA · 2020Article
- Toolkit to Compute Time-Based Elixhauser Comorbidity Indices and Extension to Common Data Models.Healthcare informatics research · 2020Article
- Developing and Validating a Model for Detecting Longitudinal Inconsistencies in the Electronic Problem List.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2020Article
- Physician Perceptions of the Electronic Problem List in Pediatric Trauma Care.Applied clinical informatics · 2019Article
- Towards augmenting structured EHR data: a comparison of manual chart review and patient self-report.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2019Article
- Impact of problem-based charting on the utilization and accuracy of the electronic problem list.Journal of the American Medical Informatics Association : JAMIA · 2018Article
- Characterizing the Utilization of the Problem List for Pediatric Trauma Care.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2018Article
- Data quality of electronic medical records in Manitoba: do problem lists accurately reflect chronic disease billing diagnoses?Journal of the American Medical Informatics Association : JAMIA · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAccurate patient problem lists are valuable tools for improving the quality of care, enabling clinical decision support, and facilitating research and quality measurement. However, problem lists are frequently inaccurate and out-of-date and use varies widely across providers.
objectiveOur goal was to assess provider use of an electronic problem list and identify differences in usage between medical specialties.
designChart review of a random sample of 100,000 patients who had received care in the past two years at a Boston-based academic medical center.
participantsCounts were collected of all notes and problems added for each patient from 1/1/2002 to 4/30/2010. For each entry, the recording provider and the clinic in which the entry was recorded was collected. We used the Healthcare Provider Taxonomy Code Set to categorize each clinic by specialty. MAIN MEASURES: We analyzed the problem list use across specialties, controlling for note volume as a proxy for visits. KEY
resultsA total of 2,264,051 notes and 158,105 problems were recorded in the electronic medical record for this population during the study period. Primary care providers added 82.3% of all problems, despite writing only 40.4% of all notes. Of all patients, 49.1% had an assigned primary care provider (PCP) affiliated with the hospital; patients with a PCP had an average of 4.7 documented problems compared to 1.5 problems for patients without a PCP.
conclusionsPrimary care providers were responsible for the majority of problem documentation; surgical and medical specialists and subspecialists recorded a disproportionately small number of problems on the problem list.
Indexed as
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.