What was already known on the topic: Clinical problem lists are important for patient care, but are sometimes incomplete Social and organization issues affect problem list completeness

What this study added to our knowledge: Problem list completeness varied widely, ranging from 60.2% to 99.4% at the ten healthcare facilities we studied, with an average of 78.2% Success factors associated with better problem list completeness include incentives, problem-oriented charted, gap reporting, shared responsibility, links to billing codes, and organizational culture