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Two algorithms for the reorganisation of the problem list by organ system
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  • Published on:
    More is needed to fix the Problem Lists

    If the algorithms presented by Hier and Pearon [1] were to be widely implemented rather the current List order, usually chronologic, the clinician could end up with a list based on organ system. Is this going to improve the misuse of Problem Lists?

    Problem Orientated Medical Records do not have enough Problems created “because the creation tools are so inefficient” [2], because usage by clinicians is highly variable and short of ideal [3], among other causes.

    There is a need to look deeper for solutions. Indeed they are messy because there is no time nor training to keep them up to date [4], also because there is no agreement on what should be the content [4], and so clinicians seeing their content could consider nearly 30% of items irrelevant [5]. In consequence more significant changes are needed. For example:
    -Software automatization to manipulate Problem Lists content. It could improve the readability of the Active Problem List, improve their quality reducing duplications and related Problems by alerting to promote/discourage additions to the Problem List, some could be based on algorithms like described by Hier and Pearon [1], but there is much more, like inactivating after a predetermined period of time a pregnancy or a surgical procedure, for example.
    -Easier to use nomenclature and code entry process to engage more clinicians to use the Problem List. So precious time is not wasted looking for the right code for example.
    - Organ-syst...

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    Conflict of Interest:
    None declared.