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Establishment of Pediatric Medication Therapy Management: A Proposed Model
Sandra Benavides1, Shirin Madzhidova2, Anihara Hernandez3
1Larkin Health Sciences Institute, College of Pharmacy, 18301 N. Miami Avenue, Suite 1, Miami, FL 33169, USA. sbenavides@ularkin.org.
Insights
Pediatric medication errors are rising due to increased chronic disease and medication use. This study proposes a medication therapy management (MTM) model to improve pediatric patient safety and healthcare delivery.
Area of Science:
- Pediatric pharmacology
- Healthcare delivery systems
- Medication safety
Background:
- Healthcare reform emphasizes accessibility, delivery, and quality.
- Rising chronic diseases in children increase medication use.
- Polypharmacy in pediatric patients heightens risks of medication errors and adverse drug events.
Purpose of the Study:
- To describe a proposed model for pediatric medication therapy management (MTM) services.
- To address the lack of a systemic process for MTM in pediatric patients.
- To propose criteria for research on pediatric medication safety.
Main Methods:
- Literature review on pediatric medication errors and adverse drug reactions.
- Development of a proposed MTM service delivery model for pediatric populations.
- Identification of criteria for future research based on existing evidence.
Main Results:
- The paper outlines a novel model for implementing MTM services in pediatric care.
- Identified risks include medication errors, adverse drug reactions, and increased hospitalizations.
- Proposed criteria aim to guide future research into optimizing pediatric MTM.
Conclusions:
- A structured MTM model is needed to enhance medication safety for pediatric patients.
- Pharmacist integration in inter-professional pediatric healthcare is crucial.
- Further research is required to validate the proposed MTM model and criteria.
Abstract:
Ongoing healthcare reform calls for increased accessibility, enhanced delivery, and improved quality of healthcare. Children and adolescents are experiencing a rise in the prevalence in chronic diseases leading to an increased utilization of medications. The increased use of chronic medications can lead to more medication errors or adverse drug events, particularly in children and adolescents using multiple chronic medications. These ongoing changes expand opportunities for a pharmacist to become further integrated in the inter-professional healthcare delivery for pediatric patients, particularly in an ambulatory or community setting. To date, a systemic process for the provision of medication therapy management (MTM) services in pediatric patients has not been elucidated. The purpose of this paper is to describe a proposed model for delivering pediatric MTM. Furthermore, based on the available literature related to pediatric patients at risk for medication errors, adverse drug reactions, and subsequently-increased utilization of emergency departments and hospitalizations, a set of criteria is proposed for further research investigation.
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