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Determinants of a successful problem list to support the implementation of the problem-oriented medical record according to recent literature

Overview of attention for article published in BMC Medical Informatics and Decision Making, August 2016
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Title
Determinants of a successful problem list to support the implementation of the problem-oriented medical record according to recent literature
Published in
BMC Medical Informatics and Decision Making, August 2016
DOI 10.1186/s12911-016-0341-0
Pubmed ID
Authors

Sereh M. J. Simons, Felix H. J. M. Cillessen, Jan A. Hazelzet

Abstract

A 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. On 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. In 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. Two 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.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 140 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United States 1 <1%
Unknown 139 99%

Demographic breakdown

Readers by professional status Count As %
Researcher 17 12%
Student > Bachelor 16 11%
Student > Master 14 10%
Student > Ph. D. Student 9 6%
Professor 9 6%
Other 32 23%
Unknown 43 31%
Readers by discipline Count As %
Medicine and Dentistry 46 33%
Nursing and Health Professions 12 9%
Computer Science 11 8%
Social Sciences 4 3%
Engineering 4 3%
Other 17 12%
Unknown 46 33%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 06 August 2016.
All research outputs
#15,380,722
of 22,881,964 outputs
Outputs from BMC Medical Informatics and Decision Making
#1,316
of 1,994 outputs
Outputs of similar age
#237,892
of 366,909 outputs
Outputs of similar age from BMC Medical Informatics and Decision Making
#28
of 43 outputs
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So far Altmetric has tracked 1,994 research outputs from this source. They receive a mean Attention Score of 4.9. This one is in the 24th percentile – i.e., 24% of its peers scored the same or lower than it.
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We're also able to compare this research output to 43 others from the same source and published within six weeks on either side of this one. This one is in the 27th percentile – i.e., 27% of its contemporaries scored the same or lower than it.