Ebbage J, Farr C, Skinner D V, White P D
St Bartholomew's Hospital, London, UK.
J R Soc Med. 1994 Sep;87(9):515-6. doi: 10.1177/014107689408700909.
One-third of accident and emergency (A & E) patients who deliberately take an overdose are not admitted to hospital, and this proportion is increasing. We conducted an audit of 300 case records of such patients from two different district health authorities in London. We found that only 4% of patients were assessed in the manner recommended by the Department of Health and 10% had no psychosocial assessment whatsoever. We recommend specific training, an assessment form, regular audit, and communication with the general practitioner.
三分之一故意过量服药的急诊患者未被收治入院，且这一比例正在上升。我们对来自伦敦两个不同地区卫生部门的300例此类患者的病例记录进行了审核。我们发现，只有4%的患者接受了卫生部建议方式的评估，10%的患者根本没有进行社会心理评估。我们建议进行专项培训、制定评估表格、定期审核，并与全科医生沟通。
