Medical Inspection – Health Blog

To identify the components of the written consulta­tion note that users of the service felt were essential, a questionnaire was created with input from both physicians and pharmacists who had various levels of involvement with the service. We identified staff ICU physicians, fellows, and emergency physicians from departmental administration records and asked them to complete the survey either manually or electronically. The participants were asked to rank the following suggested components of a written consultation note as essential, informative, or unnecessary: the patient’s medication history, an overview of the toxidrome, findings on physical assessment, interpretation of the severity of the overdose, interpretation of drug levels and toxicity screens, identification of possible causes of the toxidrome, identification of drug-drug and drug-laboratory interactions, recommendations for pharmacologic and nonpharmacologic treatment, recommendations for monitoring, and suggestions for patient disposition. The questionnaire was completed by 28 (42%) of the 66 emergency and critical care physicians who were contacted. Four components of the written consult were deemed essential by more than 75% of respondents: medication history, overview of the toxidrome, severity of overdose, and provision of pharmacologic treatment recommendations (Table 2). Twenty (87%) of the 23 respondents who had referred patients to the TCS in the past reported that they had received both useful information and helpful recommendations. An audit of the consultation notes for the 1-year study period revealed that medication history (53/58 [91%]), overview of the toxidrome (45/58 [78%]), and pharmacologic treatment recommendations (52/58 [90%]) were consistently provided in the consultation notes; however, severity of overdose (37/58 [64%]) was reported less frequently. kamagra oral jelly 100mg

Table 2. Physicians’ Perceptions of the Value of Various Elements of a Written Consult

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