ArticleThe journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG2026
Implementation and Evaluation of a Pediatric Behavioral Health Medication Reconciliation Program in a Regional Tertiary Care Pediatric Emergency Department.
Article in The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveCurrently, there is limited information regarding the effect of a pharmacy-managed medication reconciliation program for pediatric behavioral health patients admitted to an inpatient service through a pediatric emergency department. This research aimed to determine the impact of a pediatric behavioral health medication reconciliation program in a regional tertiary care pediatric emergency department.
methodsThis retrospective, single-center analysis evaluated the implementation of a medication reconciliation program in the pediatric behavioral health population using a pre-post design. We compared the quantity of pharmacy-initiated admission medication reconciliation interventions, the time to completion of admission medication reconciliations, and the trends in completion rates for a 2-month period before (October 1, 2022, to November 30, 2022) and after implementation (October 1, 2023, to November 30, 2023).
resultsA total of 107 patients were included, 59 in the pre-intervention group and 48 in the post-intervention group. Between the pre-intervention and post-intervention groups, the post-intervention group had a statistically significantly higher number of interventions by pharmacists (61 vs 129, p < 0.0001). The most common pharmacy intervention made in the post-intervention group was discontinuation of the medication order. The average time to completion of admission medication reconciliation increased from 16.33 hours in the pre-intervention group to 38.47 hours in the post-intervention group (p = 0.002).
conclusionsImplementing a medication reconciliation program in the pediatric behavioral health population admitted through a pediatric emergency department has the potential to increase the quantity of medication discrepancies identified. Time to completion of medication reconciliation increased significantly in the post-intervention group.
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