Problem-oriented charting: A review

被引：14
作者：
Chowdhry, Shilpa M. [1 ]
Mishuris, Rebecca G. [2 ]
Mann, Devin [3 ]
机构：
[1] Boston Med Ctr, Dept Med, 1 Boston Med Ctr Pl, Boston, MA 02118 USA
[2] Boston Univ, Sch Med, Dept Med, Boston, MA 02215 USA
[3] NYU, Sch Med, Dept Populat Hlth, New York, NY 10003 USA
来源：
INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS | 2017年 / 103卷
关键词：
Problem-oriented medical records; Electronic medical records; Documentation; Problem list; ELECTRONIC PATIENT RECORD; CLINICAL DECISION-SUPPORT; MEDICAL-RECORD; PROBLEM LIST; TIME SPENT; SYSTEM; CARE; DOCUMENTATION; WEED; PERFORMANCE;
D O I：
10.1016/j.ijmedinf.2017.04.016
中图分类号：
TP [自动化技术、计算机技术];
学科分类号：
0812 ;
摘要：
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.
引用
收藏
页码：95 / 102
页数：8
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