ArticleJournal of the American Medical Informatics Association : JAMIA2018
Impact of problem-based charting on the utilization and accuracy of the electronic problem list.
Article in Journal of the American Medical Informatics Association : JAMIA, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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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.
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Who cites it
14 citing papers in PubMed.
- Electronic Health Record Workflows in Acute Care Surgery: Ethnographic Study.JMIR medical informatics · 2026Article
- Current state of electronic problems lists in primary care: a rapid scoping review.Family practice · 2026Article
- Problem-oriented documentation: design and widespread adoption of a novel toolkit in a commercial electronic health record.JAMIA open · 2023Article
- Indication alerts to improve problem list documentation.Journal of the American Medical Informatics Association : JAMIA · 2022Article
- Article
- 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
- User-centered design of a longitudinal care plan for children with medical complexity.Journal of the American Medical Informatics Association : JAMIA · 2020Article
- Efficient goal attainment and engagement in a care manager system using unstructured notes.Journal of the American Medical Informatics Association : JAMIA · 2020Article
- Recording problems and diagnoses in clinical care: developing guidance for healthcare professionals and system designers.BMJ health & care informatics · 2019Article
- Physician Perceptions of the Electronic Problem List in Pediatric Trauma Care.Applied clinical informatics · 2019Article
- Characterizing the Utilization of the Problem List for Pediatric Trauma Care.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2018Article
- Understanding Primary Care Providers' Information Gathering Strategies in the Care of Children and Youth with Special Health Care Needs.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2018Article
- Identifying Children in Foster Care and Improving Foster Care Documentation in Primary Care.Pediatric quality & safetyArticle
- The Impact of Documentation Workflow on the Accuracy of the Coded Diagnoses in the Electronic Health Record.Ophthalmology scienceArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
Objective: Problem-based charting (PBC) is a method for clinician documentation in commercially available electronic medical record systems that integrates note writing and problem list management. We report the effect of PBC on problem list utilization and accuracy at an academic intensive care unit (ICU). Materials and Methods: An interrupted time series design was used to assess the effect of PBC on problem list utilization, which is defined as the number of new problems added to the problem list by clinicians per patient encounter, and of problem list accuracy, which was determined by calculating the recall and precision of the problem list in capturing 5 common ICU diagnoses. Results: In total, 3650 and 4344 patient records were identified before and after PBC implementation at Stanford Hospital. An increase of 2.18 problems (>50% increase) in the mean number of new problems added to the problem list per patient encounter can be attributed to the initiation of PBC. There was a significant increase in recall attributed to the initiation of PBC for sepsis (β = 0.45, P < .001) and acute renal failure (β = 0.2, P = .007), but not for acute respiratory failure, pneumonia, or venous thromboembolism. Discussion: The problem list is an underutilized component of the electronic medical record that can be a source of clinician-structured data representing the patient's clinical condition in real time. PBC is a readily available tool that can integrate problem list management into physician workflow. Conclusion: PBC improved problem list utilization and accuracy at an academic ICU.
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Registered trials
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