Problem Oriented Medical Record: Characterizing the Use of the Problem List at Hospital Italiano de Buenos Aires.
Problem oriented medical record (POMR) was born in late sixties. Expecting an ordered, complete and updated medical record were some of the goals of its founder. Several healthcare institutions have included problem list into their clinical records but some concerns have been reported. These concerns are in reference to their voluminosity, incompleteness and outdatedness. This study attempts to understand how healthcare professionals are using the problem list at Hospital Italiano de Buenos Aires (HIBA). We believe it is essential to understand the local reality applied to our own applications and cultural instances of documentation. This report is the basis from which several improvements could be made in order to meet the goals of Weed's proposal.
Health Informatics Department, Hospital Italiano de Buenos Aires.
Mariano
M
Franco
Health Informatics Department, Hospital Italiano de Buenos Aires.
Maria Victoria
MV
Giussi Bordoni
Health Informatics Department, Hospital Italiano de Buenos Aires.
Carlos
C
Otero
Health Informatics Department, Hospital Italiano de Buenos Aires.
Mariana Clara
MC
Landoni
Health Informatics Department, Hospital Italiano de Buenos Aires.
Sonia
S
Benitez
Health Informatics Department, Hospital Italiano de Buenos Aires.
Damian
D
Borbolla
Health Informatics Department, Hospital Italiano de Buenos Aires.
Daniel
D
Luna
D001118:Argentina; D057286:Electronic Health Records / Q000706:statistics & numerical data*; D016247:Information Storage and Retrieval / Q000706:statistics & numerical data*; D019300:Medical Errors / Q000145:classification / Q000517:prevention & control* / Q000706:statistics & numerical data*; D008501:Medical Records, Problem-Oriented / Q000706:statistics & numerical data*; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D014600:Utilization Review