United Kingdom Poisons Information Database (UKPID) - a centralised national database

Background: The UK National Poisons Information Service records all telephone enquiries on a database that has been specially designed for the purpose. Historically this information was held separately by the unit taking the enquiry. Method: In July 2007 the UK implemented a centralised database that is considered unique - the UK being the only country where all national poisons enquiry data are held together in one place. This innovative database contains detailed information in clearly defined and nationally agreed data fields. It has a number of important functions depending on the requirements of the user. It gives real time access for staff involved in the management of a specific patient through a web-based interface, irrespective of where the enquiry is answered. Since enquiries to the National Poisons Information Service are case specific, it is a requirement that patient details and all information relevant to the case are recorded, together with any management advice that is provided. When necessary other Poisons Units can access, but not alter, the database via a secure website. Details regarding the exposure, symptoms and advice given prior to their involvement is available to each Poisons Unit, thereby ensuring continuity of care for specific individuals. The database also allows the extraction of specific and anonymised data in a range of different outputs, tailored to the specific requirements of the user. This is useful in a research context and also in identifying trends in poisoning. For example, defined subsets of data can be extracted, manipulated and then subsequently exported for analysis or graphical representation. Results: The database was implemented across the UK in July 2007 and is used successfully for accessing data in real time when required and providing reports on poisoning trends. Conclusion: The introduction of a comprehensive national database has facilitated individual patient management and the development of a truly integrated National Poisons Information Service. It has the potential to be a powerful tool for poisoning surveillance within the UK.