Am J Psychiatry 1979; 136:327-329
Copyright © 1979 by American Psychiatric Association
Patient access to medical records on a psychiatric inpatient unit
EJ Stein, RL Furedy, MJ Simonton and CH Neuffer
The authors studied the effects of patient access to medical records during
hospitalization in a psychiatric unit of a community general hospital.
Questionnaires were completed by about 20 staff and 88 patients, and
records were compared with those from an earlier period to note any changes
in the written record. Patients reported feeling better informed and more
involved in their treatment, and staff said that they became more
thoughtful about their notes in the chart. The availability of staff seems
crucial to this process and facilitates the working alliance.