Wood K A, Khuri R
Department of Psychiatry, University of Tennessee, Memphis.
J Nerv Ment Dis. 1988 Mar;176(3):161-6. doi: 10.1097/00005053-198803000-00004.
The use of emergency room time by medical and psychiatric clinicians evaluating psychiatric patients was studied. The amount of time to the completion of the medical and the psychiatric evaluation and the actual amount of time of the psychiatric evaluation were compared over demographic, admission, diagnostic, and referral factors. Evaluations were completed closer to admission with patients admitted during the day and evening shifts and with patients having more obvious psychiatric problems, i.e., brought involuntarily, with a known psychiatric history, given a psychotic diagnosis in the emergency room, or subsequently sent to a psychiatric hospital. Such factors failed to affect the actual length of the psychiatric evaluation. The multiple time pressures in an emergency room setting appeared to affect when, but not how long, clinicians evaluated psychiatric patients. The time that emergency room clinicians take to begin evaluations of psychiatric patients may reflect important observational data that affect their temporal, diagnostic, and recommended treatment patterns.
对评估精神科患者的医学和精神科临床医生使用急诊室时间的情况进行了研究。比较了完成医学评估和精神科评估所需的时间以及精神科评估的实际时间，涉及人口统计学、入院、诊断和转诊因素。对于白天和晚上班次入院的患者以及有更明显精神问题的患者，即非自愿入院、有已知精神病史、在急诊室被诊断为精神病或随后被送往精神病医院的患者，评估在更接近入院时完成。这些因素并未影响精神科评估的实际时长。急诊室环境中的多重时间压力似乎影响临床医生对精神科患者进行评估的时间，而非评估时长。急诊室临床医生开始评估精神科患者的时间可能反映出影响其时间、诊断和推荐治疗模式的重要观察数据。
