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Evaluation and Management of Anemia Before and During Use

Donald M. Switz, MD

Arch Intern Med. 1976;136(10):1119-1123.

Abstract
The problem-oriented medical record (POMR) is designed to rationalize and improve the structure of the medical record. This change might be expected to enhance the outcome of patient care. Therefore, I assessed the effect of the POMR on the care of the problem— anemia—in a Veterans Administration teaching hospital.

The POMR concept was introduced by lectures and supported by chart audit. Four months later, the care described in 29 sequential records containing the discharge diagnosis—anemia—was compared with 31 records produced at the same period in the previous year by house officers not using the POMR.

Records were graded for maintenance of the POMR format. Completeness of the "data base," as well as time to problem identification, therapy, and diagnostic description were compared.

Introduction of the POMR had no observable beneficial effect on the thoroughness of data base accumulation or the process of patient care for the problem (anemia) or, in another study, on the ease or accuracy of chart audit.

(Arch Intern Med 136:1119-1123, 1976)

Author Affiliations
From the Department of Medicine, Medical College of Virginia-Virginia Commonwealth University, and McGuire Veterans Administration Hospital, Richmond.

Footnotes
Received for publication Feb 12, 1976; accepted March 1.

Read in part before the meeting of the American Federation for Clinical Research and the American Society for Clinical Investigation, Atlantic City, NJ, May 1, 1973.

Reprint requests to Box 908, Medical College of Virginia, Richmond, VA 23298 (Dr Switz).

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Overcoming Structural Constraints to Patient Utilization of Electronic Medical Records: A Critical Review and Proposal for an Evaluation Framework
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J. Am. Med. Inform. Assoc. 2004;11:151-161.
ABSTRACT | FULL TEXT