Problem-oriented charting: A review. (July 2017)

• Record Type: Journal Article
• Authors: Chowdhry, Shilpa M.; Mishuris, Rebecca G.; Mann, Devin
• Is Part Of: International journal of medical informatics. Volume 103(2017)
• Page Start: 95
• Page End: 102
• Publication Date: 2017-07
• Subjects: Problem-oriented medical records -- Electronic medical records -- Documentation -- Problem list; Medical informatics -- Periodicals; Information science -- Periodicals; Computers -- Periodicals; Medical technology -- Periodicals; Medical Informatics -- Periodicals; Technology, Medical -- Periodicals; Computers; Information science; Medical informatics; Medical technology; Electronic journals; Periodicals; Electronic journals; 610.285
• DOI: 10.1016/j.ijmedinf.2017.04.016
• Languages: English
• ISSNs: 1386-5056

Abstract

Highlights: Problem-oriented charting is form of medical documentation that organizes patient data by a diagnosis or problem. Problem-oriented charting provides opportunity for innovation through patient data retrieval tools and problem-oriented templates. Problem-oriented charting offers potential benefit in the clinical setting, but further investigation is still warranted. Before mandating healthcare through the nation to convert to problem-oriented records, additional scrutiny and clinical trials would be beneficial. Abstract: Problem-oriented charting is form of medical documentation that organizes patient data by a diagnosis or problem. In this review, we discuss the history and current use of problem-oriented charting by critically evaluating the literature on the topic. We provide insights with regard to our own institutional use of problem-oriented charting and potential opportunities for research.