Improvement in the management of acutely poisoned patients using an electronic database, prospective audit and targeted educational intervention

Postgraduate Medical Journal

Volumn 84, Issue 997, 2008, Pages 603-608

  Greene, S L ^a   Wood, D M ^a   Gawarammana, I B ^b   Warren Gash, C ^c   Drake, N ^a   Jones, A L ^d   Dargan, P I ^a  

^a GUY'S AND ST THOMAS' NHS FOUNDATION TRUST   (United Kingdom)

^b UNIVERSITY OF PERADENIYA   (Sri Lanka)

^c UNIVERSITY COLLEGE LONDON   (United Kingdom)

^d UNIVERSITY OF NEWCASTLE   (Australia)

Author keywords

[No Author keywords available]

Indexed keywords

ANTICONVULSIVE AGENT; ANTIDEPRESSANT AGENT; BENZODIAZEPINE; FLUMAZENIL; ILLICIT DRUG; PARACETAMOL; RECREATIONAL DRUG; SALICYLIC ACID;

CASE REPORT; CLINICAL ASSESSMENT; CLINICAL FEATURE; DATA BASE; DRUG INTOXICATION; DRUG USE; EMERGENCY WARD; EVIDENCE BASED MEDICINE; HEALTH CARE QUALITY; HEALTH CARE SYSTEM; HEALTH EDUCATION; HUMAN; INCIDENCE; INFORMATION; INFORMATION PROCESSING; KNOWLEDGE; MEDICAL AUDIT; MEDICAL PRACTICE; OCCUPATIONAL TOXICOLOGY; PATIENT ASSESSMENT; PATIENT CARE; POISON CENTER; PROSPECTIVE STUDY; REVIEW; SELF POISONING; STATISTICAL SIGNIFICANCE; TEACHING HOSPITAL; TERTIARY HEALTH CARE; TOXICOLOGY; UNITED KINGDOM;

ACUTE DISEASE; CLINICAL COMPETENCE; DATABASES, BIBLIOGRAPHIC; EMERGENCY MEDICINE; EMERGENCY TREATMENT; HUMANS; POISONING; PROSPECTIVE STUDIES;

EID: 58149253168     PISSN: 00325473     EISSN: 14690756     Source Type: Journal    
DOI: 10.1136/pgmj.2007.066043     Document Type: Review

References (20)

1. Michel K, Ballinari P, Bille-Brahe U, et al. Methods used for parasuicide: results of the WHO/EURO Multicentre Study on Parasuicide. Soc Psychiatry Psychiatr Epidemiol 2000;35:156-63.
2. WHO/EURO. Results of the WHO/EURO multicentre study on parasuicide. Acta Psychiatr Scand 1996;93:327-38.
3. Greene SL, Dargan PI, Jones AL. Acute poisoning: understanding 90% of cases in a nutshell. Postgrad Med J 2005;81:204-16.
4. Clarke SFJ, Dargan PI, Jones AL. Naloxone in opioid poisoning: walking the tightrope. Emerg Med J 2005;22:612-16.
5. National Collaborating Centre for Mental Health. Clinical guideline 16. Self-harm: the short-term physical and psychological management and secondary prevention of self-harm in primary and secondary care. http://www.nice.org.uk/guidance/CG16 (accessed 24 Oct 2008).
6. Wallace CI, Dargan PI, Jones AL. Paracetamol overdose: an evidence based flowchart to guide management. Emerg Med J 2002;19:202-5.
7. Dargan PI, Wallace CI, Jones AL. An evidence based flowchart to guide the management of acute salicylate (aspirin) overdose. Emerg Med J 2002;19:206-9.
8. Dargan PI, Colbridge MG, Jones AL. The management of tricyclic antidepressant poisoning: the role of gut decontamination, extracorporeal procedures and fab antibody fragments. Toxicol Rev 2005;24:187-94.
9. Whyte IM, Buckley NA, Dawson AH. Data collection in clinical toxicology: are there too many variables. J Toxicol Clin Toxicol 2002;40:223-30.
10. Guzelian PS, Victoroff MS, Halmes C, et al. Evidence-based toxicology: a comprehensive framework for causation. Hum Exp Toxicol 2005;24:161-201.
11. Nogue S, Amigo M, Sanchez M, et al. Evolution of quality indicators of toxicological care in an emergency department [abstract]. Clin Toxicol 2007;45:356.
12. Buckley NA. Poisoning and epidemiology: 'toxicoepidemiology'. Clin Exp Pharmacol Physiol 1998;25:195-203.
13. Reith DM, Dawson AH, Epid D, et al. Relative toxicity of beta blockers in overdose. J Toxicol Clin Toxicol 1996;34:273-8.
14. Whyte IM, Dawson AH, Buckley NA. Relative toxicity of venlafaxine and selective serotonin reuptake inhibitors in overdose compared to tricyclic antidepressants. Q J Med 2003;96:369-74.
15. de Lusignan S, Hague N, van Vlymen J, et al. Routinely-collected general practice data are complex, but with systematic processing can be used for quality improvement and research. Inform Prim Care 2006;14:59-66.
16. Swamidoss CP, Watrous G, Dickson BS, et al. The use of relational databases in the transition from quality assurance to continuous quality improvement: a clinical practice model. Am J Med Qual 1998;13:228-39.
17. Black N, Barker M, Payne M. Cross-sectional survey of multicentre clinical databases in the United Kingdom. BMJ 2004;328:1478.
18. Black N. High-quality clinical databases: breaking down barriers. Lancet 1999;353:1205-6.
19. Sheldon TA. Basing decisions on better quality routine clinical data. Qual Saf Health Care 2003;12:327-8.
20. Buckley NA, Whyte IM, Dawson AH, et al. Preformatted admission charts for poisoning admissions facilitate clinical assessment and research. Ann Emerg Med 1999;34:476-82.