The Problem-Oriented Record in a Psychiatric Hospital
Abstract
North Dakota State Hospital is one of several psychiatric institutions that are experimenting with a problem-oriented approach to record-keeping developed by Lawrence Weed, M.D. Under the system, a patient's problems are listed, and all subsequent data, plans, and progress notes are cross-indexed to the appropriate problem. Staff are enthusiastic about the system because it helps them understand the rationale behind a specific treatment and gives them a greater share in decision-making.
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