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 1 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 the impact of the utilization on outcomes.

Learning Objective 1: After participating in this session, the learner should be better able to:

1. Understand the prevailaing problem list utilization pattern in an acute care setting.
2. Identify the sub-group of patients for whom the problem list is utilized in delivering care.
3. Identify favorable practices that can be built upon in formulating usage policy to guide and improve utilization of the problem list.


Ashimiyu Durojaiye (Presenter)
Johns Hopkins University

Nicolette McGeorge, Johns Hopkins Medicine
Kristen Webster, Johns Hopkins Medicine
Cagla Oruc, Johns Hopkins Medicine
Ayse Gurses, Johns Hopkins University

Presentation Materials: