title: The importance of maintenance in implementing change: an experience with problem-oriented recording.
abstract: Most change implementation efforts focus on the initial acquisition-of-skill phase with little attention to maintaining skills in use of a new system. This article looks at the maintenance phases in implementing a new system, using a changeover to problem-oriented recording as an example. Through this illustration, the essential elements for maintaining a high level of performance of a new skill are presented.
mesh_terms: D006801:Humans; D007318:Inservice Training; D008499:Medical Records / Q000592:standards; D008501:Medical Records, Problem-Oriented / Q000592:standards; D009731:Nursing Audit; D009741:Nursing Staff, Hospital / Q000193:education