A Demonstration of PROMIS. The Problem-Oriented Medical Information System at the Medical Center Hospital of Vermont

摘要

Opinions differ widely about the utility of the problem-oriented medical record. This report discusses findings from a study to evaluate the impact of the Problem-Oriented Medical Information System (PROMIS), which is based on an automated problem-oriented medical record, by comparing the computerized record with its prototype, a manual problem-oriented medical record. The evaluation involved two generally comparable medical wards, one using PROMIS and the other using the manual problem-oriented medical record. This report is a comparative assessment with respect to various indices of the process and record of care delivery, and contains descriptive documentation of the background and conduct of the demonstration with focus on the reactions of users. PROMIS, which still is under development, collates and records all data according to relevant medical problems so that each medical service provider is aware of the reason for the service, and how it relates to the total care regimen. Features include: facilitating coordinated, unified medical care; providing a constant guide to common medical practices for each phase of care; warning of contraindicated therapy and drugs; and the ability to accumulate new information and provide ready feedback.