Actions that should not be taken with a paediatric patient who has been exposed to a potentially toxic substance

Objective: To show the preparation process by the Poisoning Working Group of the Spanish Society of Paediatric Emergencies (GTI-SEUP), of the list of things << not to do >> for a paediatric patient who has been exposed to a potentially toxic substance. Method: The preparation process of...

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Autores: Martinez-Sanchez, L, Lopez-Avila, J, Barasoain-Millan, A, Angelats-Romero, CM, Azkunaga-Santibanez, B, Molina-Cabanero, JC
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:España
Recursos:Fundació Sant Joan de Déu
Repositorio:r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
OAI Identifier:oai:fsjd.fundanetsuite.com:p23010
Acesso em linha:https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=23010
Access Level:acceso abierto
Palavra-chave:Poisoning
Paediatric Emergency Medicine
Ingestion
Quality of care
Children
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spelling Actions that should not be taken with a paediatric patient who has been exposed to a potentially toxic substanceMartinez-Sanchez, LLopez-Avila, JBarasoain-Millan, AAngelats-Romero, CMAzkunaga-Santibanez, BMolina-Cabanero, JCPoisoningPaediatric Emergency MedicineIngestionQuality of careChildrenObjective: To show the preparation process by the Poisoning Working Group of the Spanish Society of Paediatric Emergencies (GTI-SEUP), of the list of things << not to do >> for a paediatric patient who has been exposed to a potentially toxic substance. Method: The preparation process of the list was carried out in three phases. First: << Brainstorming >> that was open to all members of the GTI-SEUP. Second: Recommendations were selected by following modified-Delphi methodology. All participants were asked to rate the proposals (from 1 = strongly disagree to 9 = strongly agree). Those with an average score greater than 8 were accepted (provided that at least two-thirds of the participants had given them a score >= 7), and a second consultation was made for the recommendations with an average score between 6 and 8. Third: Writing and creating a consensus of the final document was done. Result: A total of 11 proposals were initially obtained. Thirty-two of the 57 GTI-SEUP participants completed the scoring questionnaire. In the first consultation, seven << not to do >> recommendations were accepted, and four obtained a doubtful average score (between 6 and 8). After the second consultation, the list was made up of eight recommendations. Two refer to general management, four to gastrointestinal decontamination techniques, and two to the administration of antidotes. Conclusion: The list of actions that should not be taken with a child that has been exposed to a possible poison is a consensus tool, within the GTI-SEUP, to promote improvement in the quality of care offered to these patients. This improvement is based on avoiding unnecessary measures, which can sometimes be harmful to the child. (c) 2021 Asociacion Espanola de Pediatria. Published by Elsevier Espana, S.L.U. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/ 4.0/).EDICIONES DOYMA S A2021info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=23010ANALES DE PEDIATRIAISSN: 16954033ISSNe: 16959531reponame:r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déuinstname:Fundació Sant Joan de DéuEspañolinfo:eu-repo/semantics/openAccessoai:fsjd.fundanetsuite.com:p230102026-05-27T12:37:41Z
dc.title.none.fl_str_mv Actions that should not be taken with a paediatric patient who has been exposed to a potentially toxic substance
title Actions that should not be taken with a paediatric patient who has been exposed to a potentially toxic substance
spellingShingle Actions that should not be taken with a paediatric patient who has been exposed to a potentially toxic substance
Martinez-Sanchez, L
Poisoning
Paediatric Emergency Medicine
Ingestion
Quality of care
Children
title_short Actions that should not be taken with a paediatric patient who has been exposed to a potentially toxic substance
title_full Actions that should not be taken with a paediatric patient who has been exposed to a potentially toxic substance
title_fullStr Actions that should not be taken with a paediatric patient who has been exposed to a potentially toxic substance
title_full_unstemmed Actions that should not be taken with a paediatric patient who has been exposed to a potentially toxic substance
title_sort Actions that should not be taken with a paediatric patient who has been exposed to a potentially toxic substance
dc.creator.none.fl_str_mv Martinez-Sanchez, L
Lopez-Avila, J
Barasoain-Millan, A
Angelats-Romero, CM
Azkunaga-Santibanez, B
Molina-Cabanero, JC
author Martinez-Sanchez, L
author_facet Martinez-Sanchez, L
Lopez-Avila, J
Barasoain-Millan, A
Angelats-Romero, CM
Azkunaga-Santibanez, B
Molina-Cabanero, JC
author_role author
author2 Lopez-Avila, J
Barasoain-Millan, A
Angelats-Romero, CM
Azkunaga-Santibanez, B
Molina-Cabanero, JC
author2_role author
author
author
author
author
dc.subject.none.fl_str_mv Poisoning
Paediatric Emergency Medicine
Ingestion
Quality of care
Children
topic Poisoning
Paediatric Emergency Medicine
Ingestion
Quality of care
Children
description Objective: To show the preparation process by the Poisoning Working Group of the Spanish Society of Paediatric Emergencies (GTI-SEUP), of the list of things << not to do >> for a paediatric patient who has been exposed to a potentially toxic substance. Method: The preparation process of the list was carried out in three phases. First: << Brainstorming >> that was open to all members of the GTI-SEUP. Second: Recommendations were selected by following modified-Delphi methodology. All participants were asked to rate the proposals (from 1 = strongly disagree to 9 = strongly agree). Those with an average score greater than 8 were accepted (provided that at least two-thirds of the participants had given them a score >= 7), and a second consultation was made for the recommendations with an average score between 6 and 8. Third: Writing and creating a consensus of the final document was done. Result: A total of 11 proposals were initially obtained. Thirty-two of the 57 GTI-SEUP participants completed the scoring questionnaire. In the first consultation, seven << not to do >> recommendations were accepted, and four obtained a doubtful average score (between 6 and 8). After the second consultation, the list was made up of eight recommendations. Two refer to general management, four to gastrointestinal decontamination techniques, and two to the administration of antidotes. Conclusion: The list of actions that should not be taken with a child that has been exposed to a possible poison is a consensus tool, within the GTI-SEUP, to promote improvement in the quality of care offered to these patients. This improvement is based on avoiding unnecessary measures, which can sometimes be harmful to the child. (c) 2021 Asociacion Espanola de Pediatria. Published by Elsevier Espana, S.L.U. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/ 4.0/).
publishDate 2021
dc.date.none.fl_str_mv 2021
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=23010
url https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=23010
dc.language.none.fl_str_mv Español
language_invalid_str_mv Español
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv EDICIONES DOYMA S A
publisher.none.fl_str_mv EDICIONES DOYMA S A
dc.source.none.fl_str_mv ANALES DE PEDIATRIA
ISSN: 16954033
ISSNe: 16959531
reponame:r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
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