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Emergency Department Asthma Medication Delivery Program: An Initiative to Provide Discharge Prescriptions and Education

BACKGROUND: Prescription fill rates for children being discharged from the emergency department (ED) after asthma exacerbations are low, placing the child at risk for additional ED visits or admissions for asthma. This article describes the implementation of an ED asthma prescription delivery servic...

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Autores principales: Durkin, Kayla, Montgomery, Tricia, Lamberjack, Kristen, Hafer, Cindy C., Naprawa, James, Yarosz, Shannon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5690291/
https://www.ncbi.nlm.nih.gov/pubmed/29202118
http://dx.doi.org/10.1097/pq9.0000000000000033
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author Durkin, Kayla
Montgomery, Tricia
Lamberjack, Kristen
Hafer, Cindy C.
Naprawa, James
Yarosz, Shannon
author_facet Durkin, Kayla
Montgomery, Tricia
Lamberjack, Kristen
Hafer, Cindy C.
Naprawa, James
Yarosz, Shannon
author_sort Durkin, Kayla
collection PubMed
description BACKGROUND: Prescription fill rates for children being discharged from the emergency department (ED) after asthma exacerbations are low, placing the child at risk for additional ED visits or admissions for asthma. This article describes the implementation of an ED asthma prescription delivery service designed to improve pharmacy prescription capture and decrease ED revisit rates. METHODS: A core group developed a service to provide asthma prescriptions and education to patients in their ED room before discharge. The project assessed the percent of ED asthma patients who filled ED asthma prescriptions at the hospital outpatient pharmacy, 7-, 14-, and 30-day ED revisit rates, and patient satisfaction. INTERVENTION: Patients/families who chose to participate in the service received asthma prescriptions and education at the ED bedside. Within 1–3 days, ED outreach nurses obtained patient satisfaction survey responses via telephone. RESULTS: There was a statistically significant increase in the number of patients who filled ED asthma prescriptions at the hospital outpatient pharmacy (22.2% versus 33.8%; P < 0.0001). The decrease in 7-, 14-, or 30-day ED revisit rates for patients who received the medication delivery service compared with standard of care was not statistically significant. Patients were satisfied to very satisfied with the service. CONCLUSION: Postimplementation of a medication delivery program within the ED, there was an increase in the percentage of patients who filled ED asthma medication prescriptions at the hospital outpatient pharmacy. There was no difference in ED revisit rates for patients who enrolled in the prescription delivery service versus standard of care.
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spelling pubmed-56902912017-11-29 Emergency Department Asthma Medication Delivery Program: An Initiative to Provide Discharge Prescriptions and Education Durkin, Kayla Montgomery, Tricia Lamberjack, Kristen Hafer, Cindy C. Naprawa, James Yarosz, Shannon Pediatr Qual Saf Individual QI Projects from Single Institutions BACKGROUND: Prescription fill rates for children being discharged from the emergency department (ED) after asthma exacerbations are low, placing the child at risk for additional ED visits or admissions for asthma. This article describes the implementation of an ED asthma prescription delivery service designed to improve pharmacy prescription capture and decrease ED revisit rates. METHODS: A core group developed a service to provide asthma prescriptions and education to patients in their ED room before discharge. The project assessed the percent of ED asthma patients who filled ED asthma prescriptions at the hospital outpatient pharmacy, 7-, 14-, and 30-day ED revisit rates, and patient satisfaction. INTERVENTION: Patients/families who chose to participate in the service received asthma prescriptions and education at the ED bedside. Within 1–3 days, ED outreach nurses obtained patient satisfaction survey responses via telephone. RESULTS: There was a statistically significant increase in the number of patients who filled ED asthma prescriptions at the hospital outpatient pharmacy (22.2% versus 33.8%; P < 0.0001). The decrease in 7-, 14-, or 30-day ED revisit rates for patients who received the medication delivery service compared with standard of care was not statistically significant. Patients were satisfied to very satisfied with the service. CONCLUSION: Postimplementation of a medication delivery program within the ED, there was an increase in the percentage of patients who filled ED asthma medication prescriptions at the hospital outpatient pharmacy. There was no difference in ED revisit rates for patients who enrolled in the prescription delivery service versus standard of care. Wolters Kluwer Health 2017-06-16 /pmc/articles/PMC5690291/ /pubmed/29202118 http://dx.doi.org/10.1097/pq9.0000000000000033 Text en Copyright © 2017 the Author(s). Published by Wolters Kluwer Health, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CC-BY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Individual QI Projects from Single Institutions
Durkin, Kayla
Montgomery, Tricia
Lamberjack, Kristen
Hafer, Cindy C.
Naprawa, James
Yarosz, Shannon
Emergency Department Asthma Medication Delivery Program: An Initiative to Provide Discharge Prescriptions and Education
title Emergency Department Asthma Medication Delivery Program: An Initiative to Provide Discharge Prescriptions and Education
title_full Emergency Department Asthma Medication Delivery Program: An Initiative to Provide Discharge Prescriptions and Education
title_fullStr Emergency Department Asthma Medication Delivery Program: An Initiative to Provide Discharge Prescriptions and Education
title_full_unstemmed Emergency Department Asthma Medication Delivery Program: An Initiative to Provide Discharge Prescriptions and Education
title_short Emergency Department Asthma Medication Delivery Program: An Initiative to Provide Discharge Prescriptions and Education
title_sort emergency department asthma medication delivery program: an initiative to provide discharge prescriptions and education
topic Individual QI Projects from Single Institutions
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5690291/
https://www.ncbi.nlm.nih.gov/pubmed/29202118
http://dx.doi.org/10.1097/pq9.0000000000000033
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