ArticleHospital pediatrics2019
Caregiver Medication Management and Understanding After Pediatric Hospital Discharge.
Article in Hospital pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
16 citing papers in PubMed.
- Health Literacy-Informed Communication to Reduce Discharge Medication Errors in Hospitalized Children: A Randomized Clinical Trial.JAMA network open · 2024Trial
- Medication Errors after Hospital Discharge among Families who use a Language other than English.Journal of immigrant and minority health · 2026Article
- The Utility of a SMS Text Messaging Platform to Support Children and Families After Cardiac Surgery.Pediatric cardiology · 2026Article
- Implementation of Clinical Pharmacy Activities in Pediatric Cardiology Department: A French Observational Study.Pediatric cardiology · 2026Article
- Psychological distress and caregiver burden among caregivers of children with chronic liver disease: A cross-sectional study.BMC pediatrics · 2026Article
- Prescribing Errors and Pharmacist Interventions in Paediatric Primary Health Care in Saudi Arabia: A Mixed-Methods Study.Healthcare (Basel, Switzerland) · 2026Article
- An Innovative Transitional Care Unit for Hospital to Home Transition of Children With Medical Complexity: A Qualitative Study of Parents' Experiences.Child: care, health and development · 2026Article
- Preventing Urgent Pediatric Readmissions: The Need for and Promise of Real-Time Monitoring.JMIR pediatrics and parenting · 2025Article
- Outcomes of Infant Supraventricular Tachycardia Management Without Medication.Pediatric cardiology · 2024Article
- An mHealth Design to Promote Medication Safety in Children with Medical Complexity.Applied clinical informatics · 2024Article
- Caregiver and Clinician Perspectives on Discharge Medication Counseling: A Qualitative Study.Hospital pediatrics · 2023Article
- Pharmacist-Led Discharge Transitions of Care Interventions for Pediatric Patients: A Narrative Review.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2023Article
- Complexity of Medication Regimens for Children With Neurological Impairment.JAMA network open · 2021Article
- Implementation of a Standardized Approach to Improve the Pediatric Discharge Medication Process.Pediatrics · 2021Article
- Improving Documentation of Postdischarge Issue Mitigation during Postdischarge Phone Calls.Pediatric quality & safetyArticle
- Identifying opportunities for pediatric medication therapy management in children with medical complexity.Journal of the American Pharmacists Association : JAPhAArticle
Corrections and comments
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Authors and funding
13 authors.
Funding
Abstract
objectivesCaregivers frequently make mistakes when following instructions on discharge medications, and these instructions often contain discrepancies. Minimal literature reflects inpatient discharges. Our objective was to describe failures in caregiver management and understanding of inpatient discharge medications and to test the association of documentation discrepancies and sociodemographic factors with medication-related failures after an inpatient hospitalization.
methodsThis study took place in an urban tertiary care children's hospital that serves a low-income, minority population. English-speaking caregivers of children discharged on an oral prescription medication were surveyed about discharge medication knowledge 48 to 96 hours after discharge. The primary outcome was the proportion of caregivers who failed questions on a 10-item questionnaire (analyzed as individual question responses and as a composite outcome of any discharge medication-related failure). Bivariate tests were used to compare documentation errors, complex dosing, and sociodemographic factors to having any discharge medication-related failure.
resultsOf 157 caregivers surveyed, 70% had a discharge medication-related failure, most commonly because of lack of knowledge about side effects (52%), wrong duration (17%), and wrong start time (16%). Additionally, 80% of discharge instructions provided to caregivers lacked integral medication information, such as duration or when the next dose after discharge was due. Twenty five percent of prescriptions contained numerically complex doses. In bivariate testing, only race and/or ethnicity was significantly associated with having any failure (
conclusionsThe majority of caregivers had a medication-related failure after discharge, and most discharge instructions lacked key medication information. Future work to optimize the discharge process to support caregiver management and understanding of medications is needed.
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