问题管理模块：一种改进问题列表工作流程的创新系统。
Problem management module: an innovative system to improve problem list workflow.
作者信息
Hodge Chad M, Kuttler Kathryn G, Bowes Watson A, Narus Scott P
机构信息
Department of Biomedical Informatics, University of Utah, Salt Lake City, UT ; Intermountain Healthcare, Salt Lake City, UT.
Intermountain Healthcare, Salt Lake City, UT.
出版信息
AMIA Annu Symp Proc. 2014 Nov 14;2014:661-70. eCollection 2014.
Electronic problem lists are essential to modern health record systems, with a primary goal to serve as the repository of a patient's current health issues. Additionally, coded problems can be used to drive downstream activities such as decision support, evidence-based medicine, billing, and cohort generation for research. Meaningful Use also requires use of a coded problem list. Over the course of three years, Intermountain Healthcare developed a problem management module (PMM) that provided innovative functionality to improve clinical workflow and boost problem list adoption, e.g. smart search, user customizable views, problem evolution, and problem timelines. In 23 months of clinical use, clinicians entered over 70,000 health issues, the percentage of free-text items dropped to 1.2%, completeness of problem list items increased by 14%, and more collaborative habits were initiated.
电子问题列表对于现代健康记录系统至关重要，其主要目标是充当患者当前健康问题的存储库。此外，编码后的问题可用于推动下游活动，如决策支持、循证医学、计费以及研究中的队列生成。《有意义的使用》也要求使用编码后的问题列表。在三年的时间里，山间医疗保健公司开发了一个问题管理模块（PMM），该模块提供了创新功能，以改善临床工作流程并提高问题列表的采用率，例如智能搜索、用户可定制视图、问题演变和问题时间线。在23个月的临床使用中，临床医生输入了超过70000个健康问题，自由文本项的比例降至1.2%，问题列表项的完整性提高了14%，并形成了更多协作习惯。
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