Evidence map›Paper›PMID 37434598›Full record

ArticlePediatric quality & safety

A Quality Improvement Initiative to Improve Pediatric Discharge Medication Safety and Efficiency.

Lisa M Ring, Jamie Cinotti, Lisa A Hom, Mary Mullenholz, Jordan Mangum, Sameeya Ahmed-Winston, Jenhao Jacob Cheng, Ellie Randolph, Ashraf S Harahsheh

Open access · diamondAbstract read
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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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.0field-weighted citation impact, top 24% of its field
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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
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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

9 authors at 2 institutions in 1 country.

Lisa M RingChildren's National Heart Institute, Children's National Hospital, Washington, D.C.
Jamie CinottiGlobal Services, Children's National Hospital, Washington, D.C.
Lisa A HomChildren's National Heart Institute, Children's National Hospital, Washington, D.C.
Mary MullenholzChildren's National Heart Institute, Children's National Hospital, Washington, D.C.
Jordan MangumChildren's National Heart Institute, Children's National Hospital, Washington, D.C.
Sameeya Ahmed-WinstonDivision of Bone Marrow Transplant, Children's National Hospital, Washington, D.C.
Jenhao Jacob ChengChildren's National Heart Institute, Children's National Hospital, Washington, D.C.
Ellie RandolphGlobal Services, Children's National Hospital, Washington, D.C.
Ashraf S HarahshehChildren's National Heart Institute, Children's National Hospital, Washington, D.C.
Children's National · USMedStar National Rehabilitation Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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.

Identifiers

PMID37434598
PMCPMC10332828
OpenAlexW4383904636

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.