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Published Online:https://doi.org/10.1176/ajp.126.8.1057

The authors describe a system in which factor scores obtained on a routine daily basis for each patient from computer scored nursing notes are subjected to sequential analysis to yield computer global decisions of "significantly better," "worse," or "unchanged" without special research techniques. The system's simplicity, objectivity, and enhanced reliability should make computer derived global decisions an attractive and extensively applicable technique in a wide variety of clinical and research settings.

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