A Quality Improvement Initiative to Improve Pediatric Discharge Medication Safety and Efficiency.
UNLABELLED: Medication errors are a leading safety concern, especially for families with limited English proficiency and health literacy, and patients discharged on multiple medications with complex schedules. Integration of a multilanguage electronic discharge medication platform may help decrease medication errors. This quality improvement (QI) project's primary aim (process measure) was to increase utilization in the electronic health record (EHR) of the integrated MedActionPlanPro (MAP) for cardiovascular surgery and blood and marrow transplant patients at hospital discharge and for the first clinic follow-up visit to 80% by July 2021.
METHODS: This QI project occurred between August 2020 and July 2021 on 2 subspecialty pediatric acute care inpatient units and respective outpatient clinics. An interdisciplinary team developed and implemented interventions, including integration of MAP within EHR; the team tracked and analyzed outcomes for discharge medication matching, and efficacy and safety MAP integration occurred with a go-live date of February 1, 2021. Statistical process control charts tracked progress.
RESULTS: Following the implementation of the QI interventions, there was an increase from 0% to 73% in the utilization of the integrated MAP in the EHR across the acute care cardiology unit-cardiovascular surgery/blood and marrow transplant units. The average user hours per patient (
CONCLUSION: MAP integration into the EHR was associated with improved inpatient discharge medication reconciliation safety and provider efficiency.
Published In/Presented At
Ring, L. M., Cinotti, J., Hom, L. A., Mullenholz, M., Mangum, J., Ahmed-Winston, S., Cheng, J. J., Randolph, E., & Harahsheh, A. S. (2023). A Quality Improvement Initiative to Improve Pediatric Discharge Medication Safety and Efficiency. Pediatric quality & safety, 8(4), e671. https://doi.org/10.1097/pq9.0000000000000671
Medical Education | Medicine and Health Sciences
USF-LVHN SELECT Program, USF-LVHN SELECT Program Students