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首页> 外文期刊>International journal of medical informatics >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 plus )
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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 plus )

机译：在引入半结构评估模板（OPCRIT plus）前后，初级临床医生在电子健康记录中进行的精神状态检查文档的比较

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摘要

Objectives: The mental state examination (MSE) provides crucial information for healthcare professionals in the assessment and treatment of psychiatric patients as well as potentially providing valuable data for mental health researchers accessing electronic health records (EHRs). We wished to establish if improvements could be achieved in the documenting of MSEs by junior doctors within a large United Kingdom mental health trust following the introduction of an EHR based semi-structured MSE assessment template (OPCRIT+).
机译：目标：精神状态检查（MSE）为医疗保健专业人员在评估和治疗精神病患者方面提供重要信息，并可能为精神健康研究人员访问电子健康记录（EHR）提供有价值的数据。我们希望确定在引入基于EHR的半结构化MSE评估模板（OPCRIT +）之后，英国大型精神卫生信托机构中的初级医生在MSE记录方面是否可以实现改进。

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  • 来源
    《International journal of medical informatics》 |2015年第9期|675-682|共8页
  • 作者

    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.;

  • 作者单位

    NIHR, Biomed Res Ctr, London, England|South London & Maudsley Natl Hlth Serv Fdn Trust, Dementia Unit, London, England|Kings Coll London, London, England;

    NIHR, Biomed Res Ctr, London, England|South London & Maudsley Natl Hlth Serv Fdn Trust, Dementia Unit, London, England|Kings Coll London, London, England;

    NIHR, Biomed Res Ctr, London, England|South London & Maudsley Natl Hlth Serv Fdn Trust, Dementia Unit, London, England|Kings Coll London, London, England;

    NIHR, Biomed Res Ctr, London, England|South London & Maudsley Natl Hlth Serv Fdn Trust, Dementia Unit, London, England|Kings Coll London, London, England;

    NIHR, Biomed Res Ctr, London, England|South London & Maudsley Natl Hlth Serv Fdn Trust, Dementia Unit, London, England|Kings Coll London, London, England;

    NIHR, Biomed Res Ctr, London, England|South London & Maudsley Natl Hlth Serv Fdn Trust, Dementia Unit, London, England|Kings Coll London, London, England;

    NIHR, Biomed Res Ctr, London, England|South London & Maudsley Natl Hlth Serv Fdn Trust, Dementia Unit, London, England|Kings Coll London, London, England;

    NIHR, Biomed Res Ctr, London, England|South London & Maudsley Natl Hlth Serv Fdn Trust, Dementia Unit, London, England|Kings Coll London, London, England;

    NIHR, Biomed Res Ctr, London, England|South London & Maudsley Natl Hlth Serv Fdn Trust, Dementia Unit, London, England|Kings Coll London, London, England;

    NIHR, Biomed Res Ctr, London, England|South London & Maudsley Natl Hlth Serv Fdn Trust, Dementia Unit, London, England|Kings Coll London, London, England;

    NIHR, Biomed Res Ctr, London, England|South London & Maudsley Natl Hlth Serv Fdn Trust, Dementia Unit, London, England|Kings Coll London, London, England;

    NIHR, Biomed Res Ctr, London, England|South London & Maudsley Natl Hlth Serv Fdn Trust, Dementia Unit, London, England|Kings Coll London, London, England;

    Kings Coll London, Genet & Dev Psychiat Ctr, Inst Psychiat Psychol & Neurosci, Med Res Council Social, London, England;

    NIHR, Biomed Res Ctr, London, England|South London & Maudsley Natl Hlth Serv Fdn Trust, Dementia Unit, London, England|Kings Coll London, London, England;

    NIHR, Biomed Res Ctr, London, England|South London & Maudsley Natl Hlth Serv Fdn Trust, Dementia Unit, London, England|Kings Coll London, London, England;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

    Mental state examination; Electronic health records; OPCRIT; Psychiatry Junior doctors Documentation; National Health Service; Semi-structured;

    机译：精神状态检查;电子健康记录;OPCRIT;精神病学初级医生文献;国家卫生服务局;半结构化;

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