Calidad de la atención recibida por los pacientes pediátricos con una intoxicación aguda en Urgencias.

espanolObjetivo: Analizar la calidad de la asistencia dada a los pacientes pediatricos con una intoxicacion aguda en urgencias. Metodo: Estudio observacional multicentrico que analiza los 6 indicadores basicos de calidad en intoxicaciones pediatricas en los servicios de urgencias de pediatria (SUP) del observatorio toxicologico de la Sociedad Espanola de Urgencias de Pediatria. Dos de ellos fueron analizados de forma individual en cada centro y 4 de forma global (datos del observatorio toxicologico). El estandar es  90% para todos salvo para la realizacion de lavado gastrico ( Resultados: El estandar se alcanzo en �Administracion de carbon tras la ingesta de una sustancia adsorbible� (96,7%) y �Administracion de carbon dentro de las 2 primeras horas� (94,5%) y, salvo en dos hospitales, en �Disponibilidad de antidotos�. �Disponibilidad de protocolos�, �Inicio de la descontaminacion en 20� (86%) y �Realizacion de lavado gastrico� (30%) no alcanzaron el estandar. Conclusiones: La atencion de los pacientes pediatricos intoxicados ofrece aspectos mejorables. EnglishObjective: To analyze quality of emergency care for acute poisoning in children. Methods: Multicenter observational study based on 6 health care quality indicators for treating poisoning in the pediatric emergency services of hospitals participating in the Toxicology Observation Project of the Spanish Society of Pediatric Emergency Medicine. Two indicators were analyzed individually for each center and the remaining 4 indicators were analyzed globally based on data from the project. We considered that an acceptable quality of care was indicated by 90% compliance with a standard except in the case of use of gastric lavage, for which quality of care was indicated by use in Results: The quality standard was achieved for administration of activated carbon after intake of a substance that can be bound by it (96.7%) and for timely administration of charcoal within 2 hours (94.5%). Acceptable results for availability of antidotes were found in all but 2 hospitals. The targeted standard was not met for 3 indicators: availability of protocols, initiating decontamination within 20 minutes (86%), and use of gastric lavage (30%). Conclusions: The emergency care of poisoned children can be improved.