Psychiatr Serv 46:1284-1286, December 1995
© 1995 American Psychiatric Association
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PS 1995; 46:1284-1286
Copyright © 1995 by American Psychiatric Association
Reliability of diagnoses made by psychiatric residents in a general emergency department
MD Warner and CA Peabody
Stanford University Medical Center, CA, USA.
The reliability of psychiatric diagnoses made by psychiatric residents in
the general emergency department of a university hospital was assessed by
comparing those diagnoses with the inpatient discharge diagnoses of
patients referred to the hospital's inpatient service from the emergency
department. In both settings diagnoses were based on DSM- III-R criteria,
but structured diagnostic instruments were not used. Retrospective review
of the records of 190 inpatients over a six-month period showed excellent
to moderate concordance between principal axis 1 diagnoses in four
categories--major depression, schizophrenic disorders, bipolar disorder,
and substance abuse and dependence disorders. Kappa values ranged from .64
for major depression to .87 for substance abuse and dependence disorders.
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