Problem and Medication List Review: More Than Checking a Box?

Our findings revealed that problem and medication lists are sometimes long with unnecessary items. Attestation that the list has been reviewed does not equate to shorter and less duplicative lists. These findings may indicate that the clinician attestation process during clinical encounters is often done whether or not a problem and medication list has, in fact, been updated. Attestation may be a "check-the-box" activity imposing cognitive burden on clinicians to meet a metric while missing the goal of a focused and uncluttered list.