Dispensing Medications at the Hospital Upon Discharge From an Emergency Department.
Autor: | Mazor SS; Continuing Medical Education.; Department of Pediatric Emergency Medicine, University of Washington School of Medicine, Seattle Children's Hospital, Seattle, Washington., Barrett MC; Division of Pharmacy, Cincinnati Children's Hospital Medical Center, Division of Pharmacy Practice and Administrative Sciences, University of Cincinnati James L. Winkle College of Pharmacy, Cincinnati, Ohio., Shubin C; Department of Pediatric Emergency Medicine, University of Washington School of Medicine, Seattle Children's Hospital, Seattle, Washington., Manzi S; Department of Pediatrics, Harvard Medical School, Department of Pharmacy, Boston Children's Hospital, Boston, Massachusetts. |
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Jazyk: | angličtina |
Zdroj: | Pediatrics [Pediatrics] 2023 Jun 01; Vol. 151 (6). |
DOI: | 10.1542/peds.2023-062144 |
Abstrakt: | Although most health care services can be provided in the medical home, children will be referred or require visits to the emergency department (ED) for a variety of conditions ranging from nonurgent to emergent. Continuation of medical care after discharge from an ED is dependent on parents or caregivers' understanding of follow-up instructions and adherence to medication administration recommendations. Barriers to obtaining medications after ED visits include lack of access because of pharmacy hours, affordability, and lack of understanding the importance of medication as part of treatment. ED visits often occur at times when community-based pharmacies are closed. Caregivers are typically concerned with getting their ill or injured child directly home once discharged from the ED. Approximately one-third of patients fail to obtain priority medications from a pharmacy after discharge from an ED. The option of judiciously dispensing medications at ED discharge from the outpatient pharmacy within the health care facility is a major convenience that helps to overcome this obstacle, improving the likelihood of medication adherence. Emergency care encounters should routinely be followed by visits to the primary care provider medical home to ensure complete and comprehensive care. (Copyright © 2023 by the American Academy of Pediatrics.) |
Databáze: | MEDLINE |
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