Skip to main content

Advertising Disclaimer »

Main menu

  • Journals
    • Pediatrics
    • Hospital Pediatrics
    • Pediatrics in Review
    • NeoReviews
    • AAP Grand Rounds
    • AAP News
  • Authors/Reviewers
    • Submit Manuscript
    • Author Guidelines
    • Reviewer Guidelines
    • Open Access
    • Editorial Policies
  • Content
    • Current Issue
    • Online First
    • Archive
    • Blogs
    • Topic/Program Collections
    • AAP Meeting Abstracts
  • Pediatric Collections
    • COVID-19
    • Racism and Its Effects on Pediatric Health
    • More Collections...
  • AAP Policy
  • Supplements
  • Multimedia
    • Video Abstracts
    • Pediatrics On Call Podcast
  • Subscribe
  • Alerts
  • Careers
  • Other Publications
    • American Academy of Pediatrics

User menu

  • Log in
  • My Cart

Search

  • Advanced search
American Academy of Pediatrics

AAP Gateway

Advanced Search

AAP Logo

  • Log in
  • My Cart
  • Journals
    • Pediatrics
    • Hospital Pediatrics
    • Pediatrics in Review
    • NeoReviews
    • AAP Grand Rounds
    • AAP News
  • Authors/Reviewers
    • Submit Manuscript
    • Author Guidelines
    • Reviewer Guidelines
    • Open Access
    • Editorial Policies
  • Content
    • Current Issue
    • Online First
    • Archive
    • Blogs
    • Topic/Program Collections
    • AAP Meeting Abstracts
  • Pediatric Collections
    • COVID-19
    • Racism and Its Effects on Pediatric Health
    • More Collections...
  • AAP Policy
  • Supplements
  • Multimedia
    • Video Abstracts
    • Pediatrics On Call Podcast
  • Subscribe
  • Alerts
  • Careers

Discover Pediatric Collections on COVID-19 and Racism and Its Effects on Pediatric Health

American Academy of Pediatrics
Quality Reports

Implementation of a Standardized Approach to Improve the Pediatric Discharge Medication Process

Kaitlyn Philips, Roy Zhou, Diana S. Lee, Christine Marrese, Joanne Nazif, Constance Browne, Mark Sinnett, Steven Tuckman, Anjali Modi and Michael L. Rinke
Pediatrics February 2021, 147 (2) e20192711; DOI: https://doi.org/10.1542/peds.2019-2711
Kaitlyn Philips
aChildren’s Hospital at Montefiore, Bronx, New York;
bDepartment of Pediatrics, Albert Einstein College of Medicine, Bronx, New York;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Roy Zhou
cNewYork-Presbyterian Queens Hospital, Flushing, New York;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Diana S. Lee
dMount Sinai Kravis Children’s Hospital, New York, New York; and
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Christine Marrese
eBaystate Children’s Hospital, Baystate Medical Center, Springfield, Massachusetts
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Joanne Nazif
aChildren’s Hospital at Montefiore, Bronx, New York;
bDepartment of Pediatrics, Albert Einstein College of Medicine, Bronx, New York;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Constance Browne
aChildren’s Hospital at Montefiore, Bronx, New York;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Mark Sinnett
aChildren’s Hospital at Montefiore, Bronx, New York;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Steven Tuckman
aChildren’s Hospital at Montefiore, Bronx, New York;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Anjali Modi
aChildren’s Hospital at Montefiore, Bronx, New York;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Michael L. Rinke
aChildren’s Hospital at Montefiore, Bronx, New York;
bDepartment of Pediatrics, Albert Einstein College of Medicine, Bronx, New York;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • Supplemental
  • Info & Metrics
  • Comments
Loading

This article requires a subscription to view the full text. If you have a subscription you may use the login form below to view the article. Access to this article can also be purchased.

Download PDF

Abstract

BACKGROUND AND OBJECTIVES: The pediatric inpatient discharge medication process is complicated, and caregivers have difficulty managing instructions. Authors of few studies evaluate systematic processes for ensuring quality in these care transitions. We aimed to improve caregiver medication management and understanding of discharge medications by standardizing the discharge medication process.

METHODS: An interprofessional team at an urban, tertiary care children’s hospital trialed interventions to improve caregiver medication management and understanding. These included mnemonics to aid in complete medication counseling, electronic medical record enhancements to standardize medication documentation and simplify dose rounding, and housestaff education. The primary outcome measure was the proportion of discharge medication–related failures in each 4-week period. Failure was defined as an incorrect response on ≥1 survey questions. Statistical process control was used to analyze improvement over time. Process measures related to medication documentation and dose rounding were compared by using the χ2 test and process control.

RESULTS: Special cause variation occurred in the mean discharge medication–related failure rate, which decreased from 70.1% to 36.1% and was sustained. There were significantly more complete after-visit summaries (21.0% vs 85.1%; P < .001) and more patients with simplified dosing (75.2% vs 95.6%; P < .001) in the intervention period. Special cause variation also occurred for these measures.

CONCLUSIONS: A systematic approach to standardizing the discharge medication process led to improved caregiver medication management and understanding after pediatric inpatient discharge. These changes could be adapted by other hospitals to enhance the quality of this care transition.

  • Accepted June 23, 2020.
  • Copyright © 2021 by the American Academy of Pediatrics

Individual Login

Log in
You will be redirected to aap.org to login or to create your account.

Institutional Login

via Institution

You may be able to gain access using your login credentials for your institution. Contact your librarian or administrator if you do not have a username and password.

Log in through your institution

If your organization uses OpenAthens, you can log in using your OpenAthens username and password. To check if your institution is supported, please see this list. Contact your library for more details.

Purchase access

You may purchase access to this article. This will require you to create an account if you don't already have one.

Offer Reprints

PreviousNext
Back to top

Advertising Disclaimer »

In this issue

Pediatrics
Vol. 147, Issue 2
1 Feb 2021
  • Table of Contents
  • Index by author
View this article with LENS
PreviousNext
Email Article

Thank you for your interest in spreading the word on American Academy of Pediatrics.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Implementation of a Standardized Approach to Improve the Pediatric Discharge Medication Process
(Your Name) has sent you a message from American Academy of Pediatrics
(Your Name) thought you would like to see the American Academy of Pediatrics web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Request Permissions
Article Alerts
Log in
You will be redirected to aap.org to login or to create your account.
Or Sign In to Email Alerts with your Email Address
Citation Tools
Implementation of a Standardized Approach to Improve the Pediatric Discharge Medication Process
Kaitlyn Philips, Roy Zhou, Diana S. Lee, Christine Marrese, Joanne Nazif, Constance Browne, Mark Sinnett, Steven Tuckman, Anjali Modi, Michael L. Rinke
Pediatrics Feb 2021, 147 (2) e20192711; DOI: 10.1542/peds.2019-2711

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Implementation of a Standardized Approach to Improve the Pediatric Discharge Medication Process
Kaitlyn Philips, Roy Zhou, Diana S. Lee, Christine Marrese, Joanne Nazif, Constance Browne, Mark Sinnett, Steven Tuckman, Anjali Modi, Michael L. Rinke
Pediatrics Feb 2021, 147 (2) e20192711; DOI: 10.1542/peds.2019-2711
del.icio.us logo Digg logo Reddit logo Twitter logo CiteULike logo Facebook logo Google logo Mendeley logo
Print
Download PDF
Insight Alerts
  • Table of Contents

Jump to section

  • Article
    • Abstract
    • Methods
    • Results
    • Discussion
    • Conclusions
    • Acknowledgments
    • Footnotes
    • References
  • Figures & Data
  • Supplemental
  • Info & Metrics
  • Comments

Related Articles

  • PubMed
  • Google Scholar

Cited By...

  • No citing articles found.
  • Google Scholar

More in this TOC Section

  • Improving Care and Outcomes for Pediatric Musculoskeletal Infections
  • Increasing Physician Reporting of Diagnostic Learning Opportunities
Show more Quality Reports

Similar Articles

Subjects

  • Hospital Medicine
    • Hospital Medicine
    • Continuity of Care Transition & Discharge Planning
  • Administration/Practice Management
    • Quality Improvement
    • Administration/Practice Management
  • Journal Info
  • Editorial Board
  • Editorial Policies
  • Overview
  • Licensing Information
  • Authors/Reviewers
  • Author Guidelines
  • Submit My Manuscript
  • Open Access
  • Reviewer Guidelines
  • Librarians
  • Institutional Subscriptions
  • Usage Stats
  • Support
  • Contact Us
  • Subscribe
  • Resources
  • Media Kit
  • About
  • International Access
  • Terms of Use
  • Privacy Statement
  • FAQ
  • AAP.org
  • shopAAP
  • Follow American Academy of Pediatrics on Instagram
  • Visit American Academy of Pediatrics on Facebook
  • Follow American Academy of Pediatrics on Twitter
  • Follow American Academy of Pediatrics on Youtube
  • RSS
American Academy of Pediatrics

© 2021 American Academy of Pediatrics