Evidence map›Paper›PMID 42471723›Full record

SynthesisBMC health services research2026

Quality improvement strategies in the management of poisoning: a systematic review.

Veekshitha S Shetty, Prathvika S Shetty, Rajalakshmi Rajendran, Shilpa Kadangal, Marva Abdul Khader, Girish Thunga

Abstract readSystematic Review
In one paragraph

Synthesis in BMC health services research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Veekshitha S Shetty *Department of Pharmacy Practice, Manipal College of Pharmaceutical Sciences, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India.
Prathvika S Shetty *Department of Pharmacy Practice, Manipal College of Pharmaceutical Sciences, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India.
Rajalakshmi RajendranDepartment of Pharmacy Practice, Manipal College of Pharmaceutical Sciences, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India.
Shilpa KadangalDepartment of Pharmacy Practice, Manipal College of Pharmaceutical Sciences, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India.
Marva Abdul KhaderDepartment of Pharmacy Practice, Manipal College of Pharmaceutical Sciences, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India.
Girish ThungaDepartment of Pharmacy Practice, Manipal College of Pharmaceutical Sciences, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India. girish.thunga@manipal.edu.ORCID http://orcid.org/0000-0003-1257-969X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPoisoning remains a major global public health concern, contributing significantly to morbidity and mortality. The management of poisoning cases is challenged by the absence of standardized treatment protocols, limited diagnostic frameworks, inconsistent antidote availability, and variability in clinical practice. Evaluating quality improvement (QI) approaches is essential to assess current standards of care and identify strategies to optimize poisoning management. This systematic review aimed to evaluate quality management in patients with poisoning by assessing the impact of quality improvement strategies on clinical processes and patient outcomes.

methodsThis review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A comprehensive literature search was performed across PubMed, Scopus and Embase databases. Studies examining quality management or quality improvement interventions in poisoning care were included.

resultsA total of 5,006 records were identified through database searching. After removal of duplicates, 3057 unique articles remained. During title and abstract screening, 2464 articles were excluded. Full-text assessment led to the exclusion of an additional 578 studies. Ultimately, 15 studies met the inclusion criteria and were included for data extraction and qualitative synthesis.

conclusionIn the context of increasing clinical and systemic challenges in poisoning management, the implementation of structured quality management strategies is essential. QI interventions may have the potential to enhance patient outcomes, reduce complications, and shorten hospital length of stay, thereby strengthening healthcare system efficiency.

trial registrationThe protocol was registered in the International Prospective Register of Systematic Reviews (PROSPERO) under the registration number CRD42024581815. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

PoisoningQuality ImprovementHumansAntidoteEmergency carePoisoningQuality improvementToxicological stewardship

Identifiers

PMID42471723
PMCPMC13673796

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.