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A Survey of Primary Care Offices: Triage of Poisoning Calls without a Poison Control Center.

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TLDR
A four-question survey with three poisoning-related scenarios, based on common calls to the authors' poison center, suggests that 82.5% of poisoning- related calls to primary care offices would be referred to 911 or an emergency department if there was no poison center.
Abstract
Poison control centers hold great potential for saving health care resources particularly by preventing unnecessary medical utilization. We developed a four-question survey with three poisoning-related scenarios, based on common calls to our poison center, and one question regarding after-hours calls. We identified primary care provider offices in our poison center's region from an internet search. We contacted these offices via telephone and asked to speak to an office manager or someone responsible for triaging patient phone queries. Using a scripted form, trained investigators questioned 100 consecutive primary care provider offices on how they would handle these poisoning-related calls if there was no poison center to refer their patients to. Results of our survey suggest that 82.5% of poisoning-related calls to primary care offices would be referred to 911 or an emergency department if there was no poison center. These results further support the role that poison centers play in patient care and health care utilization.

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The value of a poison control center in preventing unnecessary ED visits and hospital charges: A multi-year analysis

TL;DR: Compared to the cost of operation, the service UPCC provides demonstrates economic value by reducing ED visits and associated charges as the largest benefit falls to private payers.
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A comparison of emergency triage scales in triaging poisoned patients

TL;DR: Two emergency department triage systems used in Australia, the Australasian Triage Scale (ATS) and the Manchester Triage System (MTS), were compared in triaging patients presenting with poisoning and envenoming.
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Poison control centers and alternative forms of communicating with the public: what’s all the chatter about?

TL;DR: A minority of PCCs in the United States use SMS and chatting, and further research may investigate the economic feasibility of these systems, if SMS and chat effectively expands public access, and patient comfort in contacting P CCs.
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Experience of Indian emergency physicians in management of acute poisonings

TL;DR: Although India has a poison center hotline, most physicians in the south and east were unaware of this resource, suggesting an opportunity for better physician education.
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The Effect of a Medical Toxicology Inpatient Service in an Academic Tertiary Care Referral Center

TL;DR: The presence of an inpatient medical toxicology service was associated with decreased patient LOS and increased reimbursement for admitted patients and differences may be attributable to improved direct patient care provided by medical toxicologists, but future prospective studies are needed.
References
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2009 Annual Report of the American Association of Poison Control Centers' National Poison Data System (NPDS): 27th Annual Report

TL;DR: The near real-time, always current status of NPDS represents a national public health resource to collect and monitor US exposure cases and information calls and is a model system for the nation and global public health.
Journal ArticleDOI

Costs of poisoning in the United States and savings from poison control centers: a benefit-cost analysis.

TL;DR: Data on incidence, medical spending, and payment sources for poisoning were taken from the 1987 National Medical Expenditure Survey, 1991 US Vital Statistics, the 1992 National Hospital Discharge Survey, and 1992 poison control center surveillance data.
Journal Article

Effectiveness of a regional poison center in reducing excess emergency room visits for children's poisonings.

TL;DR: A regional poison center was found to be an effective means of decreasing unnecessary hospital visits for pediatric poisonings and need to further their impact by addressing outreach efforts to parents who do not call poison centers, emergency rooms, and pediatricians.
Journal Article

Poison control centers: can their value be measured?

TL;DR: This study compares the patterns of community response to poison exposure in Louisiana before and after the discontinuance of the state poison control service, and also compares these patterns to the situation in Alabama, which maintained poison center services throughout the study period.
Related Papers (5)
Trending Questions (2)
For Which situation would you call the poison control center instead of 9 1 1 or the designated emergency number?

Results of our survey suggest that 82.5% of poisoning-related calls to primary care offices would be referred to 911 or an emergency department if there was no poison center.

How many poison control centers are there in the United States?

Poison control centers hold great potential for saving health care resources particularly by preventing unnecessary medical utilization.