title: Impact of a toxicology service on a metropolitan teaching hospital.
abstract: OBJECTIVE
  To evaluate the impact of a toxicology service on a major metropolitan teaching hospital.
  
  
  METHODS
  A descriptive comparative study of all patients presenting with poisoning or suspected poisoning 12 months before and after the commencement of a toxicology service. Data on length of stay in the emergency department, disposition, length of stay of admitted patients and substance(s) involved were examined.
  
  
  RESULTS
  A total of 1,316 poisoned patients were studied. There was a statistically significant increase in self-poisonings from 612 to 704 (P = 0.002) and in the number of admissions from 113 to 192 (P < 0.05). There was no significant change in emergency department length of stay. The average length of stay for patients admitted under the care of the toxicology service decreased, especially for complicated patients.
  
  
  CONCLUSIONS
  In the first 12 months of operation the toxicology service treated more patients than the 12-month period prior to commencement, achieving a decrease in average length of stay for those patients admitted to the service. The emergency department length of stay was not altered. We surmise that by decreasing average length of stay for the patients under the care of the toxicology service, the net increase in the general pool of unoccupied beds improves bed access for all emergency department patients.
authors.affiliation: Department of Emergency Medicine, Austin & Repatriation Medical Centre, Heidelberg, Victoria, Australia. vlee@netspace.net.au
authors.forename: V
authors.initials: V
authors.lastname: Lee
authors.forename: J F
authors.initials: JF
authors.lastname: Kerr
authors.forename: G
authors.initials: G
authors.lastname: Braitberg
authors.forename: W J
authors.initials: WJ
authors.lastname: Louis
authors.forename: C J
authors.initials: CJ
authors.lastname: O'Callaghan
authors.forename: A G
authors.initials: AG
authors.lastname: Frauman
authors.forename: M L
authors.initials: ML
authors.lastname: Mashford
mesh_terms: D004636:Emergency Service, Hospital / Q000458:organization & administration / Q000706:statistics & numerical data*; D006784:Hospitals, Teaching; D006786:Hospitals, Urban; D006801:Humans; D007902:Length of Stay; D017063:Outcome Assessment, Health Care; D010343:Patient Admission; D010360:Patient Transfer; D011039:Poison Control Centers; D011041:Poisoning / Q000453:epidemiology / Q000209:etiology / Q000628:therapy*; D012189:Retrospective Studies; D014739:Victoria