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Elsevier, International Journal of Medical Informatics, 9(84), p. 675-682, 2015

DOI: 10.1016/j.ijmedinf.2015.05.001

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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+)

This paper is available in a repository.
This paper is available in a repository.

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Abstract

•Junior psychiatrists notes were compared before and after the use of a template.•Template notes were rated as more thorough, organized, useful and comprehensible.•An audit revealed template notes contained more clinically relevant information.