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Introducing the Problem-Oriented Record on a Psychiatric Inpatient Unit
Donald H. Williams; Selby Jacobs; Alberta Debski; Madeline Revere
Psychiatric Services 1974; doi:
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Yale University School of Medicine, New Haven, Connecticut

Inpatient Unit, Hill-West Haven Division, Connecticut Mental Health Center, New Haven, Connecticut

1974 by the American Psychiatric Association

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The authors describe the introduction and use of the problem-oriented record on a short-term psychiatric inpatient unit where treatment is provided primarily by nurses and psychiatric aides. The introduction of the new system required careful planning, staff seminars, and individual supervision. Its use has permitted informational deficiencies to be more quickly identified and corrected, treatment planning to be more effective, staff skills to be improved, and the quality of patient care to be assessed. The authors believe the problem-oriented record is clearly superior to the narrative chart on a unit where treatment is provided by multi-disciplinary teams.

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