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Interprofessional differences in disposition decisions: results from a standardized web-based patient assessment
Tristan Gorrindo1, Elizabeth Goldfarb, Lydia Chevalier
1Department of Psychiatry, Massachusetts General Hospital, Boston, MA 02114, USA. tristan.gorrindo@mgh.harvard.edu
Psychiatric Services (Washington, D.C.)
|August 2, 2013
Summary
Psychiatrists were more likely to recommend higher care levels for virtual patients compared to other mental health professionals. Training backgrounds significantly influenced disposition decisions, suggesting a need for standardized care protocols.
Area of Science:
- Psychiatry and Mental Health
- Clinical Decision-Making
- Healthcare Professional Training
Background:
- Disposition decisions for psychiatric patients vary among mental health professionals.
- Standardized assessments are crucial for evaluating clinical judgment.
Purpose of the Study:
- To investigate differences in disposition decisions among mental health professionals.
- To assess the impact of training backgrounds on clinical recommendations using a standardized simulation.
Main Methods:
- A web-based simulation featuring a complex psychiatric patient was used.
- Credentialed clinicians performed violence risk assessments and determined follow-up care levels.
Main Results:
- Psychiatrists were more likely to recommend higher care levels (inpatient/emergency services) than other clinicians (OR=2.67).
- Specific virtual actions, like safety contracting, highlighted training-related differences in decision-making.
Conclusions:
- Clinicians' training backgrounds significantly influenced their actions and recommended dispositions.
- Findings suggest a need for enhanced training to standardize and optimize patient care, particularly for high-risk individuals.
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