Risk Management in First Aid for Acute Drug Intoxication

Piccioni, Andrea; Cicchinelli, Sara; Saviano, Luisa; Gilardi, Emanuele; Zanza, Christian; Brigida, Mattia; Tullo, Gianluca; Volonnino, Gianpietro; Covino, Marcello; Franceschi, Francesco; Russa, Raffaele La

doi:10.3390/ijerph17218021

Cited by 13 publications

(17 citation statements)

References 42 publications

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“…The methods, tools and actions of risk management are part of the broader clinical governance [ 11 ]. Through this system, healthcare facilities are responsible for the continuous improvement of healthcare standards to facilitate the achievement of clinical excellence [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Analysis of Inadequacies in Hospital Care through Medical Liability Litigation

Russa

Viola

D’Errico

et al. 2021

IJERPH

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Over the past two decades, health litigation has followed an exponentially incremental trend. As insurance companies tend to limit their interest because of the high risk of loss, health facilities increasingly need to internalize dispute management. This study was conducted through a retrospective analysis of existing files concerning the civil litigation of the Sant’Andrea Hospital in Rome. All claims from 1 June 2010 to 30 June 2019 were included. Paid claims were further classified according to the areas of health care inappropriateness found. Authors indexed 567 different claims along the study period, with an average number of 59 per year (range 38–77). The total litigation involved 47 different units; more than 40% concerned 5 high-incidence wards or services. Concerning the course of disputes, 91 cases were liquidated before a judicial procedure was instituted, while 177 cases landed in a civil court. Globally, 131 different claims hesitated in compensation, for a total of 16 million 625 thousand euros, 41% of which was related to the internal medicine area. Dealing with the inappropriateness analysis, clinical performance alone involved 76 cases, for a total of 10 million 320 thousand euros, while organization defects involved 20 disputes equivalent to 1 million 788 thousand euros. The aim of this study was to enhance the clinical risk management at our facility through a litigation analysis.

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Section: Introductionmentioning

confidence: 99%

Analysis of Inadequacies in Hospital Care through Medical Liability Litigation

Russa

Viola

D’Errico

et al. 2021

IJERPH

Self Cite

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Section: Introductionmentioning

confidence: 99%

“…Acute intoxication is defined as a pathological state resulting from the function of a naturally poisonous material or when overdosed [1]. It is a dynamic procedure that leads to short but intense and quickly worsens and may result in dangerous consequences [1]. However, cannabis is the utmost prevalently abused illicit drug, especially among young people aged between 15 and 16 in Europe [2], with approximately 128 to 238 million users worldwide [3].…”

Section: Introductionmentioning

confidence: 99%

“…It is generally considered a relatively harmless drug [4][5][6]. Still, certain severe reports of acute toxicity were associated [1]. Hence, it became essential to be promptly identified and therapeutically approached in the emergency setting [1].…”

Section: Introductionmentioning

confidence: 99%

“…Still, certain severe reports of acute toxicity were associated [1]. Hence, it became essential to be promptly identified and therapeutically approached in the emergency setting [1]. Nevertheless, the onset age of cannabis use is decreasing, and adolescents start to use cannabis at an earlier age, which is when they become more exposed to its effects [4].…”

Section: Introductionmentioning

confidence: 99%

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Cannabinoid Acute Intoxication, Diagnosis, and Management

Alghamdi¹,

Samman²,

Bahader³

et al. 2021

Int j pharm res allied sci

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Cannabis use is a common behavior among adults and adolescents, particularly after legalization in certain countries. It also reported that pediatric exposure to cannabinoid-containing products has increased for the same reason. Acute cannabinoid intoxication affects almost every part of the body, especially cardiovascular, nervous, and gastrointestinal systems, in addition to its psychoactive effects. This article aims to review the background of cannabis and its impact on the human body and review the common adverse outcomes, including the fatal consequences. Also, in this article, we aim to address the therapeutic approach of cannabinoid intoxication in the emergency setting. We used the PubMed database looking for relevant articles on the topic, addressing the emergency setting specifically. We used the following Mesh words: Cannabis, delta-9-tetrahydrocannabinol, cannabinoid intoxication, emergency department. Cannabinoid provides various body effects, but gastrointestinal and psychiatric complaints were the most common symptoms requiring emergency visits. Luckily, most of those patients do not demand hospital admission and are successfully discharged after symptomatic management. However, severe but rare symptoms must be adequately addressed, especially in concomitant use of another illicit drug, leading to respiratory depression, severe cardiovascular outcomes, or even death.

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Young adults’ change talk within brief motivational intervention in the emergency department and booster sessions is associated with a decrease in heavy drinking over 1 year.

Blanc,

Studer,

Magill

et al. 2024

Psychology of Addictive Behaviors

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Objective: Investigate the effect of change talk (CT) within successive brief motivational interventions (BMIs) as a mechanism of change for alcohol use. Method: We conducted a secondary analysis of data from a randomized controlled trial in which 344 young adults (18-35 years old) admitted to a Swiss emergency department with alcohol intoxication received either BMI (N = 171) or brief advice (N = 173). Participants with a baseline audio-recorded BMI were included (N = 140; median age 23 [Q1-Q3: 20-27], 72.9% men). Up to three booster sessions by phone were offered at 1 week, 1 month, and 3 months. Percent CT and CT Average Strength were used as predictor variables. The outcome was the number of heavy drinking days (HDD) over the 30 days prior to research assessments at 1-, 3-, 6-, and 12-month follow-up. A latent growth curve modeling framework was first used to estimate predictor and outcome variable growth parameters (i.e., intercept and slope) over time, and then to regress HDD growth parameters on CT growth parameters. Results: CT increased specifically from baseline to the 1-week booster session and thereafter remained stable. Higher baseline CT was associated with lower HDD at 1 month (Percent CT: b = −0.04, 95% confidence interval [−0.06, −0.01]; Average Strength: b = −0.99 [−1.67, −0.31]). An increase in CT from baseline to the 1-week booster session was related to a decrease in HDD from 1 month to 12 months (Percent CT: b = −0.08 [−0.14, −0.03]; Average Strength: b = −2.29 [−3.52, −1.07]). Conclusions: Both baseline CT and CT trajectory over the first week are meaningful predictors of HDD. Public Health Significance StatementThis study indicates that young adults admitted to the emergency department with alcohol intoxication who spoke more in favor of changing their alcohol consumption within an initial brief motivational intervention, as well as those who increased their language toward change across successive early booster sessions, reduced heavy drinking over 1 year.

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Risk Management in First Aid for Acute Drug Intoxication

Cited by 13 publications

References 42 publications

Analysis of Inadequacies in Hospital Care through Medical Liability Litigation

Analysis of Inadequacies in Hospital Care through Medical Liability Litigation

Cannabinoid Acute Intoxication, Diagnosis, and Management

Young adults’ change talk within brief motivational intervention in the emergency department and booster sessions is associated with a decrease in heavy drinking over 1 year.

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