Introducing the Problem-Oriented Record on a Psychiatric Inpatient Unit
Abstract
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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