title: Poison control center communication and impact on patient adherence.
abstract: OBJECTIVE
  This project explored the communication processes associated with poison control center calls.
  
  
  METHODS
  In this preliminary study, we adapted the Roter Interaction Analysis System to capture staff-caller dialogue. This involved case selection, wherein adherence and non-adherence cases were selected; call linkage to medical records, where case records were linked with voice recordings; and application of Roter Interaction Analysis System to calls.
  
  
  RESULTS
  Results indicate that communications are predominantly provider-driven. Patient age and percentage of staff partnership statements were significantly associated with adherence at the 0.05 level. Increases in age were associated with decreases in adherence to recommendations (p < 0.001). Increases in percentage of staff partnership statements (over all staff talk) were associated with increases in adherence (p = 0.013).
  
  
  CONCLUSIONS
  This line of research could lead to evidence-based guidelines for effective staff-caller communication, increased adherence rates, and improved health outcomes.
authors.affiliation: University of Utah, College of Nursing, Salt Lake City, UT 84112, USA. lee.ellington@nurs.utah.ed
authors.forename: Lee
authors.initials: L
authors.lastname: Ellington
authors.forename: Sonia
authors.initials: S
authors.lastname: Matwin
authors.forename: Srichand
authors.initials: S
authors.lastname: Jasti
authors.forename: Jacquee
authors.initials: J
authors.lastname: Williamson
authors.forename: Barbara
authors.initials: B
authors.lastname: Crouch
authors.forename: Martin
authors.initials: M
authors.lastname: Caravati
authors.forename: William
authors.initials: W
authors.lastname: Dudley
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D003142:Communication; D019317:Evidence-Based Medicine; D005260:Female; D019983:Guideline Adherence / Q000706:statistics & numerical data*; D006801:Humans; D033181:Information Dissemination / Q000379:methods; D007802:Language; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance / Q000523:psychology / Q000706:statistics & numerical data*; D011039:Poison Control Centers / Q000592:standards / Q000706:statistics & numerical data*; D011369:Professional-Patient Relations; D019114:Remote Consultation / Q000379:methods / Q000706:statistics & numerical data; D012737:Sex Factors; D013689:Telephone; D014705:Verbal Behavior