Résumé
@#Introduction: The objective of this paper is to investigate the behavioural intention to use the Poison Information System (PIS) among healthcare professionals based on the extension of the Technology Acceptance Model. Methods: A quantitative approach used a five-point Likert scale questionnaire adapted from previous research. Data were obtained from 136 health professionals working in the Emergency Department of public hospitals in Malaysia. Results: A multiple linear regression model showed that approximately 40% of the variation in intention to use was related to positive attitude, staff category, and inversely to computer anxiety. Perceived usefulness, perceived ease of use, and computer usage were related to intention to use, but their correlation was accounted for by positive attitude, staff category, and computer anxiety. A factor analysis grouped positive attitude, intention to use, and perceived usefulness on Factor I and perceived ease of use, inverse computer anxiety, and computer habit on Factor II. Cluster analysis indicated three clusters. Gender, age, experience, and staff category were strongly inter-related; intention to use clustered with perceived ease of use and perceived usefulness; positive attitude clustered with computer habit; and the latter two clustered together. Conclusion: These findings show that positive attitude, staff category, and computer anxiety of healthcare professionals, working in emergency departments, may have the greatest effect on PIS usage.
Résumé
Objective: To evaluate the utilization of the pharmacist-operated Drug and Poison Information Center (DPIC) services in Pakistan. Methods: All queries from 2015-2017 were retrieved from PharmAssist DPIC database and were retrospectively analyzed. The variables obtained for analysis were call types (drug or poison), type of callers, type of drug queries, and type of poison queries. Results: A total of 2209 queries were analyzed. The highest queries in the year 2015, 2016 and 2017 came from general public as 44.0%, 56.3%, and 80.6%, followed by consultants as 11.4%, 7.3%, 4.4%, general physicians as 7.20%, 3.40%, and 3.85%. Students and interns show least usage with students 2.20%, 2.30%, 0.29% and interns 0.27%, 0.23%, 0.09% in the year 2015, 2016 and 2017 respectively. The most frequent queries received at PharmAssist DPIC were related to miscellaneous queries (14.7%), indications (13.6%), strength (13.4%) and drug availability (12.1%). The majority of poison calls were for ingestion (80.3%), followed by animal bite (6.6%), dermal contact (5.5%), injection (2.2%) and inhalation (2.2%). Conclusion: It was concluded that as the awareness of our service enhanced, the utilization also increased. In order to have enhanced usage of the service, more frequent awareness activities need to be performed to have improved patient care.
Résumé
PURPOSE: The Korean government has tried to decrease the suicide death rate over the last decade. Suicide attempts, particularly non-fatal attempts, are the most powerful known risk factor for a completed suicide. An analysis of suicide attempt methods will help establish the effective preventive action of suicide. Fit prevention according to the method of suicide attempt may decrease the incidence of suicide death. Self-poisoning is suggested as a major method of both suicide attempts and suicide death. The aim of this study was to determine if a self-poisoning patient is a suitable target for the prevention of the suicide. METHODS: This was retrospective analysis of a prospective cohort, which included patients who presented to the emergency department (ED) after a self-harm or suicide attempt from Jan 2013 to Dec 2017. The proportion of methods in suicide attempts, psychological consultation, and fatality according to the suicide attempt method were analyzed. The types of poison were also analyzed. RESULTS: Poisoning was the most common method of suicide attempts (52.1%). The rate of psychological consultations were 18.8% for all patients and 29.1% for poison patients (p < 0.001). The rate of mortality in poisoning was 0.6%. Psychological consultation was performed more frequently in admission cases than discharged cases. The most common materials of poisons was psychological medicines and sedatives that had been prescribed at clinics or hospital. CONCLUSION: Self-poisoning is a major method of suicide attempt with a high rate of psychiatric consultation, low mortality rate, versus others methods. The prevention of suicide death for suicide attempts may focus on self-poisoning, which is the major method of suicide attempts. A suitable aftercare program for self-poisoning may be an effective method for preventing suicide if an early diagnosis and management of psychiatric disorders through psychiatric consultation can be made, and early connection to social prevention program for non-fatal patients are possible.