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Related Experiment Videos

Computer-generated progress notes in an automated POMR.

S C Lloyd

    Journal of Medical Systems
    |April 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    This study introduces a computerized Problem-Oriented Medical Record (POMR) system, enhancing patient care with automated reminders for diagnoses and medications. Primary care physicians are successfully using this innovative electronic health record (EHR) extension.

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    Area of Science:

    • Medical Informatics
    • Clinical Documentation Systems

    Background:

    • Traditional Problem-Oriented Medical Records (POMR) require manual data management.
    • Computerized physician order entry (CPOE) systems aim to improve efficiency but can be complex.
    • Integrating diagnostic and medication data is crucial for effective patient management.

    Purpose of the Study:

    • To describe an innovative computerized version of the Problem-Oriented Medical Record (POMR) system.
    • To present an extension of the Weed system augmented for computer-generated reminders.
    • To evaluate the regular use of this system by primary care physicians.

    Main Methods:

    • Developed a computerized POMR system extending the Weed system.
    • Integrated patient, diagnosis, and medication files.

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  • Implemented computer-generated reminders for active diagnoses and medication surveillance during patient encounters.
  • Organized reminders into initial and follow-up data bases.

    • Main Results:

    • The computerized POMR system is in regular use by primary care physicians.
    • The system has yielded excellent results in clinical practice.
    • Automated reminders improve data management for diagnoses and medications.

    Conclusions:

    • The computerized POMR system offers an effective enhancement to traditional medical record-keeping.
    • This innovative approach facilitates better patient management through timely, data-driven reminders.
    • The system demonstrates successful integration of electronic health records (EHR) functionalities in primary care.