Cost-benefit analysis of a regional poison center

J, Blizzard; Michels, Jill E; Richardson, William H.; Reeder, C. E.; Schulz, Richard; Holstege, Christopher P.

doi:10.1080/15563650701616145

Cited by 43 publications

(32 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Prior studies have shown that PCC involvement in the management of poisoned patients results in health care savings [5][6][7][8][9][10][11][12][13]. It has also been demonstrated that patients managed with PCC telephone consultation utilize the emergency department (ED) less frequently and experience lower rates of hospital admission and shorter lengths of stay (LOS) when hospitalized [7,[14][15][16][17].…”

Section: Introductionmentioning

confidence: 99%

Effect of a Medical Toxicology Admitting Service on Length of Stay, Cost, and Mortality Among Inpatients Discharged with Poisoning-Related Diagnoses

et al. 2014

View full text Add to dashboard Cite

There are no published studies that have compared quality outcomes of hospitalized poisoned patients primarily under the care of physician medical toxicologists to patients treated by non-toxicologists. We hypothesized that inpatients primarily cared for by medical toxicologists would exhibit shorter lengths of stay (LOS), lower costs, and decreased mortality. Patients discharged in 2010 and 2011 from seven hospitals within the same health care system and greater metropolitan area with Medicare severity diagnosis-related groups for "poisoning and toxic effects of drugs" with and without major comorbidities or complications (917 & 918, respectively) were identified from a Premier® database. The database contained severity-weighted comparisons between expected and observed outcomes for each patient. Outcome parameters were differences between expected and observed LOS, cost, and percent mortality. These were then compared among groups of patients primarily admitted and cared for by (1) medical toxicologists at one hospital (Banner Good Samaritan Medical Center, BGS), (2) non-toxicologists at BGS, and (3) non-toxicologists at six other hospitals. Records of 3,581 patients contained complete data for assessment of at least one outcome measure. Patients cared for by medical toxicologists experienced favorable differences in LOS, costs, and mortality compared with other patient groups (p<0.001). If patients cared for by non-toxicologists had experienced similar differences in observed over expected values for LOS, cost, and mortality as those cared for by medical toxicologists, there would have been a median savings of 1,483 hospital days, $4.269 million, and a significant decrease in mortality during the 2-year study period. Differences between observed and expected LOS, cost, and mortality in patients primarily cared for by medical toxicologists were significantly better than in patients cared for by non-toxicologists, regardless of facility. These data suggest that significant reductions in patient hospital days, costs, and mortality are possible when medical toxicologists directly care for hospitalized patients.

show abstract

Section: Introductionmentioning

confidence: 99%

Effect of a Medical Toxicology Admitting Service on Length of Stay, Cost, and Mortality Among Inpatients Discharged with Poisoning-Related Diagnoses

et al. 2014

View full text Add to dashboard Cite

show abstract

“…Despite these demonstrations by other research works, Cameroon is still lacking when it comes to poisoning and poison management [42][43][44][45]. The absences of such centers in Cameroon and more particularly in highly urbanized towns like Douala in which this work was done are more handicaps to enable a proper quantification of the necessary as such a center in Douala and in Cameroon at large and moreover the lack of a PCC in Douala and Cameroon are deficiency to proper evaluate the cost effectiveness of a PCC in poison management and its possibilities of been a real disaster surveillances public health asset for its citizens [46][47][48][49][50][51].…”

Section: Discussionmentioning

confidence: 99%

Evaluating the Necessity of a Poison Control Center in Cameroon: The Knowledge and Perception of Health Care Professionals in the Laquintinie Hospital and the Bonassama District Hospital in Douala

Kingsley¹,

Dieudonne²,

Jacques³

2017

J Clinic Toxicol

View full text Add to dashboard Cite

show abstract

“…Captured charges may depend heavily on the payer mix of the population being served and on individual insurers. [10] In their current state, PCCs clearly improve patient outcomes and save the healthcare system money [11][12][13][14][15][16][17]. Hopefully, this alone will impress upon our academic institutions, legislators, and hospital administrators the importance of supporting technological growth in toxicology.…”

Section: Futurementioning

confidence: 99%

Telemedicine and Toxicology: Back to the Future?

Skolnik

2013

J. Med. Toxicol.

View full text Add to dashboard Cite

Cost-benefit analysis of a regional poison center

Abstract: In addition to non-monetary benefits, the operation of a regional poison center provides significant positive return on investment.

Cited by 43 publications

References 4 publications

Effect of a Medical Toxicology Admitting Service on Length of Stay, Cost, and Mortality Among Inpatients Discharged with Poisoning-Related Diagnoses

Effect of a Medical Toxicology Admitting Service on Length of Stay, Cost, and Mortality Among Inpatients Discharged with Poisoning-Related Diagnoses

Evaluating the Necessity of a Poison Control Center in Cameroon: The Knowledge and Perception of Health Care Professionals in the Laquintinie Hospital and the Bonassama District Hospital in Douala

Telemedicine and Toxicology: Back to the Future?

Contact Info

Product

Resources

About