title: The psychiatric, alcohol, and drug algorithm: a decision model for the nurse reviewer.
abstract: Although preadmission review and concurrent review are useful tools for limiting unnecessary medical expenditures, psychiatric and chemical dependency cases are more difficult to assess than medical/surgical cases because they are described in relatively subjective terms and do not lend themselves to review by systems currently in use. The Psychiatric, Alcohol, and Drug Algorithm (PADA) is a straightforward utilization review system for these cases. PADA is organized in decision trees for each reason for admission and reason for continued stay; this system enables nurse reviewers to make recommendations on most cases without further review.
mesh_terms: D000465:Algorithms; D003211:Concurrent Review / Q000379:methods*; D003663:Decision Trees; D006760:Hospitalization; D006801:Humans; D001523:Mental Disorders / Q000628:therapy*; D009741:Nursing Staff, Hospital; D019966:Substance-Related Disorders / Q000628:therapy*; D014481:United States; D014600:Utilization Review / Q000379:methods*