ID-5184 Wonca Abstracts supplement A-K 13-10-23 - Flipbook - Page 43
WONCA 2023 Supplement 1: WONCA 2023 abstracts (A–K)
A
B
C
Problem-oriented medical records and electronic medical
records: Preliminary results of a scoping review
D
Dr Vinicius Anjos De Almeida1, Mr Henrique Teruo Arai2, Mariela Zaros Galana2, Dr Gustavo Gusso,
Janos Valery Gyuricza, Luis Fernandez Lopez
E
1
Department of Legal Medicine, Bioethics, Occupational Medicine, and Physical Medicine and
Rehabilitation, Faculty of Medicine, University of São Paulo, 2San Paulo, Brazil
F
G
H
I
J
K
The problem-oriented medical record (POMR) was first designed by Lawrence Weed to address
issues in medical practice that often made it ineffective and prone to errors (eg unorganised patient
data, neglected problems and healthcare providers’ challenge to comprehend patients’ complexity).
By using the medical record in a more organised and systematic manner, errors could be prevented,
healthcare teams could collaborate effectively and neglect could be reduced.
Electronic medical records (EMRs) are now widespread and vary greatly in their organisation.
They may fully adopt POMR organisation, partially adopt it or ignore it altogether. Over the years,
other methods of collecting and storing patient data have been proposed, but there is no universal
systematic approach. However, as Weed states in his famous article Medical records that guide and
teach, these changes could lead to ‘a more positive attitude about the use of computers in medicine’.
This study aims to systematically review the literature and gather published articles on the application
of POMR in EMRs, including its development and outcomes evaluation. To date, there has been no
review addressing this issue.
The review was conducted by three reviewers. The search involved PubMed as the only database.
Only articles in English or Portuguese and those that involved some application of POMR in EMRs
were included. Of the 315 articles that met the inclusion criteria, the titles and abstracts were screened
by the three reviewers, and any disagreements were resolved during team meetings. The full articles
were randomly assigned to each reviewer for evaluation. The review is still ongoing.
The presentation will showcase the methods and preliminary results of the review, provide an overall
discussion on the applications of POMR in EMRs and highlight research gaps that may require further
attention.
41