HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS British Journal of Psychiatry Advances in Psychiatric Treatment All RCPsych Journals		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Submit an eLetter Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via CrossRef Citing Articles via Google Scholar Google Scholar Articles by Kareem, O. S. Articles by Ashby, C.-A. Search for Related Content PubMed Articles by Kareem, O. S. Articles by Ashby, C.-A.

Mental state examinations by psychiatric trainees in a community NHS trust. The importance of a standardised format

Rockingham Forest NHS Trust, Oxford Regional Postgraduate Training Scheme in Psychiatry

Ceri-Anne Ashby, Senior Clinical Audit Facilitator

Rockingham Forest NHS Trust, Isebrook Hospital, Irthlingborough Road, Wellingborough, Northamptonshire NN8 1LP

AIMS AND METHOD

To investigate the recording of Mental State Examination (MSE) findings by psychiatric trainees as well as dating, timing and signing of entries into the clinical record. Data were collected from randomly selected case notes in three acute psychiatric units.

RESULTS

There was an initial decline of MSE recording from 69% to 58% in the first re-audit. Introduction of a standardised format and involvement of consultant trainers in the supervision of MSE recording led to an improvement to 83% in the second re-audit. Adherence to medico-legal standards also improved.

CLINICAL IMPLICATIONS

The introduction of an MSE format and consultant supervision of records improved the standard of MSE recording as well as basic medico-legal requirements by psychiatric trainees.

This article has been cited by other articles:

				S. Dinniss, J. Dawe, and M. Cooper Psychiatric admission booking: audit of the impact of a standardised admission form Psychiatr. Bull., September 1, 2006; 30(9): 334 - 336. [Abstract] [Full Text] [PDF]

				D. Lyons, M. Amos, and V. M. Mathew Structured psychiatric assessment schedules -- treating the case notes and the patient Psychiatr. Bull., November 1, 2001; 25(11): 418 - 420. [Abstract] [Full Text] [PDF]