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Blog post: Improving the recording of problems and diagnoses in the NHS

29 August 2019

Dr Anoop Shah, Clinical Research Fellow at the ÂÒÂ×Ðã IHI, authored a guest blog post for the Faculty of Clinical Informatics on the subject of improving the recording of problems and diagnoses in the NHS.

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is a postdoctoral fellow and clinical lecturer at ÂÒÂ×Ðã, and honorary consultant in clinical pharmacology and general medicine at ÂÒÂ×ÐãH. His research focuses on improving the recording of problems and diagnoses in electronic health records. In a guest blog post for the Faculty of Clinical Informatics he wrote about a project he led with the Professional Record Standards Body to develop professional guidance for recording diagnoses. 

"Clinical understanding of a patient’s condition evolves over time, and different clinicians may have different impressions. How can these be documented clearly in a shared problem list, and who is responsible for ensuring the list remains accurate, relevant and uncluttered? What do patients think about shared problem lists? I had the opportunity to work with the ÂÒÂ×ÐãH Biomedical Research Centre Patient and Public Involvement Group to explore these questions. I found that patients were able to understand the issues and were keen for a solution that enables data sharing with clear provenance."

You can read the full blog post on the Faculty of Clinical Informatics