ReviewBMC medical informatics and decision making2016
Determinants of a successful problem list to support the implementation of the problem-oriented medical record according to recent literature.
Review in BMC medical informatics and decision making, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06002685 (Effects of Attachment-Based Intervention on Low-Income Latino Children's Emerging Health Outcomes), which is not on this map. Cited by 27 papers, 1 of them a synthesis that pooled it.
What it found
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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.
Effects of Attachment-Based Intervention on Low-Income Latino Children's Emerging Health Outcomes
Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it.
- 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
- Feasibility and effectiveness of a two-tiered intervention involving training and a new consultation model for patients with palliative care needs in primary care: A before-after study.Palliative medicine · 2024Trial
- Analysis of clinical pharmacist interventions in the neurology unit of a Brazilian tertiary teaching hospital.PloS one · 2019Trial
- Current state of electronic problems lists in primary care: a rapid scoping review.Family practice · 2026Article
- Clinical evaluation of MiADE: a natural language processing system for assisting structured diagnosis recording at the point of care.BMJ health & care informatics · 2026Article
- Diagnosis decoded: a taxonomy and natural language processing analysis of the diagnosis section in German hospital discharge summaries.Health care management science · 2025Article
- From Admission to Discharge: Leveraging NLP for Upstream Primary Coding with SNOMED CT.Journal of medical systems · 2025Article
- How to Assess Health Gains.Healthcare (Basel, Switzerland) · 2025Article
- Problem-oriented documentation: design and widespread adoption of a novel toolkit in a commercial electronic health record.JAMIA open · 2023Article
- Inaccurate recording of routinely collected data items influences identification of COVID-19 patients.International journal of medical informatics · 2022Article
- Article
- Building a Shared, Scalable, and Sustainable Source for the Problem-Oriented Medical Record: Developmental Study.JMIR medical informatics · 2021Article
- Overview of Physical Activity Counseling in Primary Care.Korean journal of family medicine · 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
- Impact of a problem-oriented view on clinical data retrieval.Journal of the American Medical Informatics Association : JAMIA · 2021Article
- Contextual property detection in Dutch diagnosis descriptions for uncertainty, laterality and temporality.BMC medical informatics and decision making · 2021Article
- A corpus-driven standardization framework for encoding clinical problems with HL7 FHIR.Journal of biomedical informatics · 2020Article
- Embedding "Smart" Disease Coding Within Routine Electronic Medical Record Workflow: Prospective Single-Arm Trial.JMIR medical informatics · 2020Article
- Problems with the problem list: challenges of transparency in an era of patient curation.Journal of the American Medical Informatics Association : JAMIA · 2020Article
- Factors Influencing Problem List Use in Electronic Health Records-Application of the Unified Theory of Acceptance and Use of Technology.Applied clinical informatics · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA problem-oriented approach is one of the possibilities to organize a medical record. The problem-oriented medical record (POMR) - a structured organization of patient information per presented medical problem- was introduced at the end of the sixties by Dr. Lawrence Weed to aid dealing with the multiplicity of patient problems. The problem list as a precondition is the centerpiece of the problem-oriented medical record (POMR) also called problem-oriented record (POR). Prior to the digital era, paper records presented a flat list of medical problems to the healthcare professional without the features that are possible with current technology. In modern EHRs a POMR based on a structured problem list can be used for clinical decision support, registries, order management, population health, and potentially other innovative functionality in the future, thereby providing a new incentive to the implementation and use of the POMR.
methodsOn both 12 May 2014 and 1 June 2015 a systematic literature search was conducted. From the retrieved articles statements regarding the POMR and related to successful or non-successful implementation, were categorized. Generic determinants were extracted from these statements.
resultsIn this research 38 articles were included. The literature analysis led to 12 generic determinants: clinical practice/reasoning, complete and accurate problem list, data structure/content, efficiency, functionality, interoperability, multi-disciplinary, overview of patient information, quality of care, system support, training of staff, and usability.
conclusionsTwo main subjects can be distinguished in the determinants: the system that the problem list and POMR is integrated in and the organization using that system. The combination of the two requires a sociotechnical approach and both are equally important for successful implementation of a POMR. All the determinants have to be taken into account, but the weight given to each of the determinants depends on the organizationusing the problem list or POMR.
Indexed as
Identifiers
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.