POMD fails if you don't maintain the problem list. A PDF cannot remind you to update it. Every new abnormal lab (e.g., "K+ 2.9") gets its own problem number. Do not bury it in the narrative.
: Immediate next steps for treatment or further investigation. Benefits for Clinical Practice problemoriented medical diagnosis pdf
Having the PDF is only half the battle. You must integrate it into your clinical workflow. Here is a step-by-step method used by senior residents: POMD fails if you don't maintain the problem list