Hospital admission medication reconciliation in medically complex children: an observational study

Stone, Bryan L.; Boehme, Sabrina; Mundorff, Michael B.; Maloney, Christopher G.; Srivastava, Rajendu

doi:10.1136/adc.2009.167528

Cited by 54 publications

(68 citation statements)

References 26 publications

(27 reference statements)

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“…All medications have the potential for adverse effects, and the use of multiple medications increases the risk of drugdrug interactions. 27 Maintaining current medication lists for the caregivers with clear dosing regimens is essential, and updated lists must be maintained in the medical home. This action facilitates timely refills, reduces risks of medication errors, and allows health care providers to regularly monitor for and address potential drug interactions.…”

Section: Defining the Basic Medical Issuesmentioning

confidence: 99%

Home Care of Children and Youth With Complex Health Care Needs and Technology Dependencies

Elias¹,

Murphy²,

Liptak³

et al. 2012

Pediatrics

150

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Children and youth with complex medical issues, especially those with technology dependencies, experience frequent and often lengthy hospitalizations. Hospital discharges for these children can be a complicated process that requires a deliberate, multistep approach. In addition to successful discharges to home, it is essential that pediatric providers develop and implement an interdisciplinary and coordinated plan of care that addresses the child' s ongoing health care needs. The goal is to ensure that each child remains healthy, thrives, and obtains optimal medical home and developmental supports that promote ongoing care at home and minimize recurrent hospitalizations. This clinical report presents an approach to discharging the child with complex medical needs with technology dependencies from hospital to home and then continually addressing the needs of the child and family in the home environment.

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Section: Defining the Basic Medical Issuesmentioning

confidence: 99%

Home Care of Children and Youth With Complex Health Care Needs and Technology Dependencies

Elias¹,

Murphy²,

Liptak³

et al. 2012

Pediatrics

150

View full text Add to dashboard Cite

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“…Outpatient pediatric polypharmacy has not been adequately described; in a study examining medication reconciliation for children with CCCs, subjects took, on average, 5 chronic medications. 29 Polypharmacy, whether necessary for successful treatment of a patient, has been associated with increased risk of drugdrug interactions or ADEs. 30 Complex medication regimens may also be difficult to manage for both caregivers and clinicians.…”

Section: Discussionmentioning

confidence: 99%

Adverse Drug Event-Related Emergency Department Visits Associated With Complex Chronic Conditions

2014

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WHAT'S KNOWN ON THIS SUBJECT: Children who experience outpatient adverse drug events represent 0.5% of pediatric emergency department visits. The subset of children with complex chronic conditions often take multiple medications, but the incidence and severity of adverse drug events in these children is unknown. WHAT THIS STUDY ADDS:Children with complex chronic conditions have a higher risk of emergency department visits related to adverse drug events, compared with other children. The implicated drugs with the highest rates include psychotropic agents, antimicrobial agents, anticonvulsants, hormones/steroids, and analgesics. abstract BACKGROUND AND OBJECTIVES: Outpatient adverse drug events (ADEs) can result in serious outcomes requiring emergency department (ED) visits and hospitalizations. The incidence and severity of ADEs in children with complex chronic conditions (CCCs), who often take multiple medications, is unknown. We sought to describe the characteristics of ADE-related ED visits, including association with CCC status; determine the implicated medications; and determine if CCC status increased the risk of ADE-related admission. METHODS:Retrospective cohort study of ED visits by patients aged 0 to 18 years using a national sample. ADEs were identified by external cause of injury codes; cases with overdose, wrongful administration, self-harm, or diagnosis of malignancy were excluded. Multivariable logistic regression was used to test outcomes of having an ADE-related ED visit and of subsequent admission. All statistics accounted for the complex survey design. RESULTS:Of 144 million ED visits, 0.5% were associated with ADEs. Adjusting for age, gender, insurance type, day of week, and location of hospital, ADEs were associated with the presence of a CCC (odds ratio 4.76; 95% confidence interval: 4.45-5.10). The implicated medications differed significantly by CCC status. Adjusting for the same variables, ADEs were associated with subsequent inpatient admission (odds ratio 2.18; 95% confidence interval: 2.04-2.32) for all children; an interaction between ADE and CCC status was not significant.CONCLUSIONS: ED visits associated with ADEs were more likely to occur for children with CCCs, and the implicated drugs differed, but ADE-related admissions were not differentially affected by CCC status.

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“…Il faut toutefois noter qu'il Bien que la majorité des enfants reçoivent moins de médicaments que les adultes, la démarche de BCM à l'admission est tout aussi importante pour ce groupe d'usagers [24][25][26] . Pendant la durée de l'étude, les BCM à l'admission comportaient majoritairement un ou aucun médicament.…”

Section: Réalisation Du Bcmunclassified

Conformité des bilans comparatifs des médicaments à l’admission transmis au département de pharmacie par télécopieur

Penfornis¹,

Bédard

Bailey³

et al. 2012

CJHP

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Hospital admission medication reconciliation in medically complex children: an observational study

Cited by 54 publications

References 26 publications

Home Care of Children and Youth With Complex Health Care Needs and Technology Dependencies

Home Care of Children and Youth With Complex Health Care Needs and Technology Dependencies

Adverse Drug Event-Related Emergency Department Visits Associated With Complex Chronic Conditions

Conformité des bilans comparatifs des médicaments à l’admission transmis au département de pharmacie par télécopieur

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