Intrator J, Allan E, Palmer M
Department of Psychiatry, Bronx VA Medical Center, New York 10468.
J Subst Abuse Treat. 1992;9(3):215-20. doi: 10.1016/0740-5472(92)90063-t.
This paper describes a short-term approach developed at a time of numerous drug-related incidents occurring at a large VA Hospital to help staff manage psychiatric patients abusing alcohol or drugs during hospitalization. This was accomplished through the development of a decision tree designed to improve the clinical problem-solving process by identifying key decision points. Prior to this, staff responded emotionally either by prematurely discharging patients or by not recognizing the problem at all. Decision Trees have widespread applicability for resolving complex clinical problems.
本文描述了在一家大型退伍军人管理局医院发生大量与药物相关事件期间开发的一种短期方法，以帮助工作人员管理住院期间酗酒或滥用药物的精神病患者。这是通过开发一个决策树来实现的，该决策树旨在通过识别关键决策点来改进临床问题解决过程。在此之前，工作人员要么过早地让患者出院，要么根本没有认识到问题，从而做出情绪化的反应。决策树在解决复杂临床问题方面具有广泛的适用性。
