title: [Assessment of quality indicators in pediatric poisoning in an emergency service].
abstract: BACKGROUND
  Assessment of quality indicators allows clinicians to evaluate clinical assistance with a standard, to detect deficiencies and to improve medical assistance.
  
  
  METHODS
  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.
  
  
  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 2hours of poison ingestion (standard=90%, result=83.5%); attention within the first 15minutes of arriving in the emergency service (standard=90%, result=60.4%); start of gastrointestinal decontamination within 20minutes 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).
  
  
  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.
authors.affiliation: Servicio de Urgencias, Hospital Sant Joan de Déu Barcelona, Esplugues de Llobregat, Barcelona, España.
authors.forename: C
authors.initials: C
authors.lastname: Giménez Roca
authors.affiliation: Servicio de Urgencias, Hospital Sant Joan de Déu Barcelona, Esplugues de Llobregat, Barcelona, España. Electronic address: lmartinez@hsjdbcn.org.
authors.forename: L
authors.initials: L
authors.lastname: Martínez Sánchez
authors.affiliation: Servicio de Urgencias, Hospital Sant Joan de Déu Barcelona, Esplugues de Llobregat, Barcelona, España.
authors.forename: Y
authors.initials: Y
authors.lastname: Calzada Baños
authors.affiliation: Servicio de Urgencias, Hospital Sant Joan de Déu Barcelona, Esplugues de Llobregat, Barcelona, España.
authors.forename: V
authors.initials: V
authors.lastname: Trenchs Sainz de la Maza
authors.affiliation: Servicio de Urgencias, Hospital Sant Joan de Déu Barcelona, Esplugues de Llobregat, Barcelona, España.
authors.forename: J M
authors.initials: JM
authors.lastname: Quintilla Martínez
authors.affiliation: Servicio de Urgencias, Hospital Sant Joan de Déu Barcelona, Esplugues de Llobregat, Barcelona, España.
authors.forename: C
authors.initials: C
authors.lastname: Luaces Cubells
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D004632:Emergency Medical Services; D004638:Emergency Treatment / Q000592:standards*; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D011041:Poisoning / Q000628:therapy*; D019984:Quality Indicators, Health Care; D012189:Retrospective Studies
keywords: Asistencia médica; Emergency service; Indicadores de calidad; Intoxicaciones; Medical assistance; Outcome assessment (health care); Poisoning; Quality indicators healthcare; Resultado de la evaluación (asistencia sanitaria); Servicio de urgencias