Black D, Creed F
Department of Psychiatry, University of Manchester.
J R Soc Med. 1988 Feb;81(2):97-9. doi: 10.1177/014107688808100216.
Case notes of patients admitted to hospital or seen in the casualty department following an overdose were assessed in a standardized way. The medical records were deficient in several important areas, especially for those patients seen in casualty and not referred to a psychiatrist. If only selected patients were to be assessed by psychiatrists, closer monitoring of the psychiatric assessments and management initiated by junior medical staff would be required. Although the poor records may reflect lack of motivation as much as lack of education, there was no significant relationship between the doctors' attitudes towards self-poisoning patients in general and the standard of their assessments.
对因服药过量入院或在急诊科就诊的患者病历进行了标准化评估。病历在几个重要方面存在不足，尤其是对于那些在急诊科就诊但未转诊给精神科医生的患者。如果仅让精神科医生对部分患者进行评估，那么就需要加强对初级医务人员开展的精神科评估和管理的监测。尽管记录不佳可能既反映了缺乏积极性，也反映了缺乏培训，但医生对一般自我中毒患者的态度与他们的评估标准之间没有显著关系。
