Evidence map›Paper›PMID 32607457›Full record

ArticlePediatric quality & safety

Timely Delivery of Discharge Medications to Patients' Bedsides: A Patient-centered Quality Improvement Project.

Daphna T Katz, Josaura V Fernandez-Sanchez, Leah A Loeffler, Simone M Chang, Mora V Puertolas-Lopez, Faizal R Ramdial, Gabrielle R Fisher, Susan A Gutierrez, Neha Mahajan, Divya R Keerthy and 10 more

Abstract read
In one paragraph

Article in Pediatric quality & safety. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Provision of medication supply at hospital discharge: A rapid scoping review of the "Meds-to-Beds" care model.American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists · 2026
    Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors.

Daphna T KatzDepartment of Pediatrics, Jackson Memorial Hospital.
Josaura V Fernandez-SanchezDepartment of Pediatrics, Jackson Memorial Hospital.
Leah A LoefflerDepartment of Pediatrics, Jackson Memorial Hospital.
Simone M ChangDepartment of Pediatrics, Jackson Memorial Hospital.
Mora V Puertolas-LopezDepartment of Pediatrics, Jackson Memorial Hospital.
Faizal R RamdialDepartment of Pediatrics, Jackson Memorial Hospital.
Gabrielle R FisherDepartment of Pediatrics, Jackson Memorial Hospital.
Susan A GutierrezDepartment of Pediatrics, Jackson Memorial Hospital.
Neha MahajanDepartment of Pediatrics, Jackson Memorial Hospital.
Divya R KeerthyDepartment of Pediatrics, Jackson Memorial Hospital.
Stephania P CavallaroDepartment of Pediatrics, Jackson Memorial Hospital.
Claudia E LandaetaDepartment of Pediatrics, Jackson Memorial Hospital.
Akilah S PascallDepartment of Pediatrics, Jackson Memorial Hospital.
Kristina T AcevedoDepartment of Pediatrics, Jackson Memorial Hospital.
Kwai T Chan-PoonDepartment of Pediatrics, Jackson Memorial Hospital.
Benjamin R AbrahamDepartment of Pediatrics, Jackson Memorial Hospital.
Matthew SiriDepartment of Pediatrics, Jackson Memorial Hospital.
Kimberly L ReynoldsDepartment of Pediatrics, Jackson Memorial Hospital.
Kendra Van KirkDepartment of Pediatrics, Jackson Memorial Hospital.
Liz Y Bayes SantosDepartment of Pediatrics, Jackson Memorial Hospital.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPatients who are unable to fill prescriptions after discharge are at risk of hospital readmission. Ensuring that patients have prescriptions in hand at the time of discharge is a critical component of a safe and effective discharge process. Using a "Meds to Beds" program, we aimed to increase the percentage of patients discharged from Holtz Children's Hospital with medications in hand from 49% to 80%, reduce turnaround time (TAT) from electronic prescription signature to bedside delivery from 4.9 hours (±2.6 hours) to 2 hours, and increase caregiver satisfaction.

methodsWe formed a multidisciplinary team and implemented 4 patient-centered interventions through iterative plan-do-study-act cycles. Statistical process control charts were used to understand the impact of the interventions over 10 months. Hospital length of stay and discharges before 2:00 pm were used as balancing measures. We measured caregiver satisfaction using a telephone survey administered by pediatric residents within 7 days after discharge.

resultsThe mean percentage of patients discharged with medications in hand increased to 76%. TAT decreased to 3.5 hours (±1.8 hours). Length of stay did not significantly increase, whereas the percentage of patients discharged before 2:00 pm did. Caregivers of patients who had prescriptions delivered to their bedside reported high levels of satisfaction.

conclusionsUsing a "Meds to Beds" program, we increased the percentage of patients discharged with medications in hand, decreased TAT with reduced variability, and achieved high levels of caregiver satisfaction. Importantly, there was a shift in the culture of the institution toward improved medication access for patients.

Identifiers

PMID32607457
PMCPMC7297402

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.