E-grāmata: Clinical Problem Lists in the Electronic Health Record [Taylor & Francis e-book]

Medical and informatics specialists from the US provide 15 chapters on the history and importance, attitudes and use, and improvements to patient problem lists in electronic health records. They discuss the origins of the problem list and evidence that an accurate and updated list is associated with improved quality, using the example of patients with heart failure; studies of physician, nurse, and other healthcare provider attitudes and what they think belongs on the list, their differences in usage by specialty, and the distribution of problems, medications, and laboratory results documented at one hospital; strategies for improvement (using a data mining method for identifying problems, a clinical decision support intervention to alert clinicians when there is a gap in the problem list or new medications ordered, and improving list accuracy); and uses of an accurate problem list in medical error prevention, problem-oriented chronic disease management, and detection and prevention of wrong-patient errors. All chapters have been previously published elsewhere. Distributed by CRC Press, a Taylor & Francis Group. Annotation ©2015 Ringgold, Inc., Portland, OR (protoview.com)

Edited by a professor at Harvard Medical School who has extensive experience in this field, this important and timely book presents a variety of perspectives on the organization of patient medical records around patient problems, presenting a more effective problem-oriented approach rather than the traditional data-oriented approach. It is comprehensive, covering the history and importance of the electronic health record, the attitudes toward and use of problem lists, strategies to improve the problem list, and applications in practice of the problem list.