A comparison of mental state examination documentation by junior clinicians in electronic health records before and after the introduction of a semi-structured assessment template (OPCRIT+). Issue 9 (September 2015)

• Record Type: Journal Article
• Authors: Lobo, Sarah E.M.; Rucker, James; Kerr, Madeleine; Gallo, Fidel; Constable, Giles; Hotopf, Matthew; Stewart, Robert; Broadbent, Matthew; Baggaley, Martin; Lovestone, Simon; McGuffin, Peter; Amarasinghe, Myanthi; Newman, Stuart; Schumann, Gunter; Brittain, Philip J.
• Is Part Of: International journal of medical informatics. Volume 84:Issue 9(2015:Sep.)
• Page Start: 675
• Page End: 682
• Publication Date: 2015-09
• Subjects: Medical informatics -- Periodicals; Information science -- Periodicals; Computers -- Periodicals; Medical technology -- Periodicals; Medical Informatics -- Periodicals; Technology, Medical -- Periodicals; Computers; Information science; Medical informatics; Medical technology; Electronic journals; Periodicals; Electronic journals; 610.285
• DOI: 10.1016/j.ijmedinf.2015.05.001
• Languages: English
• ISSNs: 1386-5056

Abstract

<abstract abstract-type="author-highlights" id="abs0005"> <title id="sect0005">Highlights</title> <sec> <p id="spar0005"> <list id="lis0005"> <list-item id="lsti0005"> <label></label> <p id="par0005">Junior psychiatrists notes were compared before and after the use of a template.</p> </list-item> <list-item id="lsti0010"> <label></label> <p id="par0010">Template notes were rated as more thorough, organized, useful and comprehensible.</p> </list-item> <list-item id="lsti0015"> <label></label> <p id="par0015">An audit revealed template notes contained more clinically relevant information.</p> </list-item> </list> </p> </sec> </abstract>