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Treffer: Characterizing the Utilization of the Problem List for Pediatric Trauma Care.

Title:
Characterizing the Utilization of the Problem List for Pediatric Trauma Care.
Authors:
Durojaiye AB; Division of Health Sciences Informatics, Johns Hopkins University School of Medicine, Baltimore, MD, USA.; Armstrong Institute for Patient Safety and Quality, Johns Hopkins Medicine, Baltimore, MD, USA., McGerorge N; Armstrong Institute for Patient Safety and Quality, Johns Hopkins Medicine, Baltimore, MD, USA., Kristen W; Armstrong Institute for Patient Safety and Quality, Johns Hopkins Medicine, Baltimore, MD, USA., Oruc C; Armstrong Institute for Patient Safety and Quality, Johns Hopkins Medicine, Baltimore, MD, USA., Fackler JC; Department of Pediatric Anesthesiology and Critical Care Medicine; Department of Pediatrics, Johns Hopkins University, School of Medicine, Baltimore, MD, USA., Gurses AP; Division of Health Sciences Informatics, Johns Hopkins University School of Medicine, Baltimore, MD, USA.; Armstrong Institute for Patient Safety and Quality, Johns Hopkins Medicine, Baltimore, MD, USA.
Source:
AMIA ... Annual Symposium proceedings. AMIA Symposium [AMIA Annu Symp Proc] 2018 Dec 05; Vol. 2018, pp. 404-412. Date of Electronic Publication: 2018 Dec 05 (Print Publication: 2018).
Publication Type:
Journal Article; Research Support, U.S. Gov't, P.H.S.
Language:
English
Journal Info:
Publisher: American Medical Informatics Association Country of Publication: United States NLM ID: 101209213 Publication Model: eCollection Cited Medium: Internet ISSN: 1942-597X (Electronic) Linking ISSN: 15594076 NLM ISO Abbreviation: AMIA Annu Symp Proc Subsets: MEDLINE
Imprint Name(s):
Original Publication: Bethesda, MD : American Medical Informatics Association, c2003-
MeSH Terms:
Electronic Health Records* , Medical Records, Problem-Oriented* , Pediatrics*/organization & administration , Traumatology*/organization & administration, Child ; Child, Preschool ; Emergency Service, Hospital ; Female ; Humans ; Male ; Registries ; Trauma Centers
References:
N Engl J Med. 2010 Aug 5;363(6):501-4. (PMID: 20647183)
BMC Med Inform Decis Mak. 2016 Aug 02;16:102. (PMID: 27485127)
BMC Med Inform Decis Mak. 2011 May 25;11:36. (PMID: 21612639)
J Am Med Inform Assoc. 2016 Sep;23(5):859-65. (PMID: 27002075)
J Gen Intern Med. 2005 Feb;20(2):143-7. (PMID: 15836547)
Fed Regist. 2010 Jul 28;75(144):44589-654. (PMID: 20677416)
BMC Med Inform Decis Mak. 2012 Nov 11;12:127. (PMID: 23140312)
Med Care. 1976 Oct;14(10):848-56. (PMID: 1085849)
Fed Regist. 2012 Sep 4;77(171):53967-4162. (PMID: 22946138)
Health Care Manage Rev. 2014 Apr-Jun;39(2):124-33. (PMID: 23380882)
J Am Med Inform Assoc. 2018 May 1;25(5):548-554. (PMID: 29360995)
Int J Med Inform. 2015 Oct;84(10):784-90. (PMID: 26228650)
J Gen Intern Med. 2012 Aug;27(8):968-73. (PMID: 22426706)
J AHIMA. 2011 Sep;82(9):52-8. (PMID: 21980907)
AMIA Annu Symp Proc. 2005;:644-8. (PMID: 16779119)
J AHIMA. 2011 Mar;82(3):32-5; quiz 36. (PMID: 21413516)
Grant Information:
R01 HS023837 United States HS AHRQ HHS
Entry Date(s):
Date Created: 20190301 Date Completed: 20191021 Latest Revision: 20240725
Update Code:
20250114
PubMed Central ID:
PMC6371241
PMID:
30815080
Database:
MEDLINE

Weitere Informationen

The EHR problem list has the potential to support care coordination among the multidisciplinary care team that cares for pediatric trauma patients. To realize this potential, the need exists to ensure appropriate utilization by formulating acceptable usage and management policy. In this regard, understanding the prevailing utilization pattern is pivotal. To this end, we analyzed EHR in tandem with trauma registry data at a Level I pediatric trauma center. Almost all (97.8%) of the actions executed on the problem list were addition of items. Among the 517 patient encounters in the cohort, 263 (48.9%) encounters involving sicker patients had at least one problem list item added, mostly within the first 4 hours of arrival, while in the emergency department, and by providers in the service of record. This represents a foundation to build upon. Subsequent research will explore completeness, accuracy, and the impact of the utilization on patient outcomes.