Documentation in the patient medical record was associated with improved adherence to Poisons Information Centres telephone advice

Clinical Toxicology : the Official Journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists
Carol WylieKatherine Isoardi

Abstract

Context: There is little research examining clinician adherence to specialist toxicological phone advice. Efforts to improve adherence should be sought to optimise the management of poisoned patients. This study aimed to determine if contemporaneous documentation in the patient electronic medical record (EMR) improved adherence to Poisons Information Centre (PIC) advice.Methods: This was a prospective before and after observational study following the implementation of documented poisoning management advice by PIC staff into the patient's EMR. Advice adherence was assessed following a review of the patient medical records and designated to complete adherence, minor discrepancies not affecting patient care, major discrepancies affecting patient care and non-adherence. The primary outcome was the proportion of satisfactory (complete adherence/minor discrepancies) adherence. Secondary outcomes included the accuracy of documented telephone advice by the treating clinician, the number of case recalls and episodes of sub-optimal management.Results: A total of 980 cases (347 in the pre-intervention phase and 633 in the post-intervention phase) were included in the study, of which 350 had PIC EMR documentation performed. Documented cal...Continue Reading

References

Jul 10, 1998·Journal of Toxicology. Clinical Toxicology·H E PerssonJ Pronczuk de Garbino
Aug 9, 2001·Journal of Toxicology. Clinical Toxicology·J Yamada, M McGuigan
Oct 7, 2004·Journal of Toxicology. Clinical Toxicology·Martin WattsLeo Schep
Feb 9, 2008·Clinical Toxicology : the Official Journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists·Lee EllingtonWilliam Dudley
Oct 18, 2011·Patient Education and Counseling·Rebecca J Purc-Stephenson, Christine Thrasher
May 23, 2012·Clinical Toxicology : the Official Journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists·Mollie R CumminsBob G Wong
May 24, 2013·Clinical Toxicology : the Official Journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists·Mollie R CumminsKatherine Repko
Jul 7, 2018·The Medical Journal of Australia·Alanna HuynhUNKNOWN Synthesis of the Network of Australian Poisons Services' Health Outcomes and Treatment (SNAPSHOT) investigators
Nov 14, 2019·Clinical Toxicology : the Official Journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists·Alanna HuynhAndrew H Dawson

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