- 作者：C. Gim茅nez Roca ; L. Mart铆nez S谩nchez ; Y. Calzada Ba帽os ; V. Trenchs Sainz de la Maza ; J.M. Quintilla Mart铆nez ; C. Luaces Cubells
- 关键词：Asistencia mé ; dica ; Indicadores de calidad ; Intoxicaciones ; Servicio de urgencias ; Resultado de la evaluació ; n (asistencia sanitaria)
- 刊名：Anales de Pediatr铆a
- 出版年：January, 2014
- 年：2014
- 卷：80
- 期：1
- 页码：34-40
- 全文大小：365 K
ss="h4">Introduction
Assessment of quality indicators allows clinicians to evaluate clinical assistance with a standard, to detect deficiencies and to improve medical assistance.
ss="h4">Material and method
Patients who came to emergency services of a tertiary level hospital for suspicion of poisoning from January 2011 to June 2012 were assessed using 20 quality indicators of pediatric poisoning. Data collection was performed by retrospective review of clinical reports.
ss="h4">Results
A total of 393 patients were admitted for suspicion of poisoning (0.3% of all admissions).The standard was reached in 11 indicators and not reached in 6: administration of activated charcoal within 2 hours of poison ingestion (standard = 90%, result = 83.5%); attention within the first 15 minutes of arriving in the emergency service (standard = 90%, result = 60.4%); start of gastrointestinal decontamination within 20 minutes of arrival in emergency services (standard = 90%, result = 29.7%); performing of electrocardiogram on the patients poisoned with cardiotoxic substances (standard = 95%, result = 87%); judicial communication of cases of poisoning that could conceal a crime (standard = 95%, result = 31.3%), and collection of the minimal set of information of poisoned patients (standard = 90%, result = 1.9%). Three indicators could not be evaluated as a consequence of the limited number of cases where they could be applied (<5).
ss="h4">Conclusions
The main deficiencies are related to delay in assistance, collection of information and completion of judicial reports. Giving these patients priority, designing a checklist to collect the main points of their management, and creating obligatory fields for data in computerized medical records, are the main actions available to achieve pediatric poisoning quality indicators in this emergency service.