title: [Problems in the standardization of inpatient health care in clinical toxicology].
abstract: Standardization of inpatient toxicological care is an urgent task to reduce mortality from acute chemical poisonings. Since 2005, health care standards and patient management protocols in poisonings with psychotropic and hypnotic agents, ethanol and other alcohols, and ethylene glycol have been developed and work is in progress on standards for intoxication with corrosive substances, soaps, detergents, carbon dioxide, other gases, smokes, and vapors. Major difficulties have been revealed. These are the lack of coincidence of the "Nomenclature of work and services in public health service" at the federal level with the similar regional documents; improper presentation of toxicological diagnostic and medical technologies; orientation of the Ministry of Health and Social Development of Russia towards only simple services; the "List of Essential and Most Important Drugs" that does not contain the heading "antidote agents" at all is to be completed.
authors.forename: Iu N
authors.initials: IuN
authors.lastname: Ostapenko
authors.forename: N N
authors.initials: NN
authors.lastname: Litvinov
authors.forename: P G
authors.initials: PG
authors.lastname: Rozhkov
authors.forename: K K
authors.initials: KK
authors.lastname: Il'iashenko
authors.forename: Iu S
authors.initials: IuS
authors.lastname: Gol'dfarb
mesh_terms: D015510:Clinical Medicine / Q000592:standards*; D006801:Humans; D010346:Patient Care Management / Q000458:organization & administration / Q000592:standards*; D011039:Poison Control Centers / Q000458:organization & administration / Q000592:standards* / Q000706:statistics & numerical data; D011041:Poisoning / Q000453:epidemiology / Q000628:therapy*; D011787:Quality of Health Care; D012015:Reference Standards; D012426:Russia / Q000453:epidemiology; D014116:Toxicology / Q000592:standards*