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Pharmacist-Led Discharge Transitions of Care Interventions for Pediatric Patients: A Narrative Review
Sara W Hovey1, Hae Jin Cho2, Courtney Kain3
1Department of Pharmacy Practice (SWH), University of Illinois at Chicago, College of Pharmacy, Chicago, IL.
Insights
Optimizing medication management during pediatric transitions of care (TOC) is crucial. This review highlights interventions for children, aiming to improve health outcomes by enhancing medication safety and adherence post-discharge.
Area of Science:
- Pediatric Pharmacy
- Medication Management
- Healthcare Transitions
Background:
- Transitions of care (TOC) are critical for medication management, especially in pediatrics.
- Current quality standards for pediatric TOC are insufficient, impacting children's health outcomes.
- Pediatric patients require focused interventions during care transitions.
Purpose of the Study:
- To identify pediatric populations benefiting from TOC interventions.
- To describe medication-focused TOC interventions during and after hospital discharge.
- To guide pediatric pharmacists in integrating TOC interventions for children.
Main Methods:
- This study is a narrative review.
- It characterizes pediatric populations needing TOC interventions.
- It describes various medication-focused TOC interventions and delivery models.
Main Results:
- Specific pediatric groups needing enhanced TOC support were identified.
- Medication reconciliation, education, access, and adherence tools were detailed.
- Different models for delivering TOC interventions post-discharge were reviewed.
Conclusions:
- Pediatric TOC interventions are essential for optimizing medication management.
- Pharmacists and pharmacy leaders can use this review to implement effective discharge processes.
- Improved TOC strategies can lead to better health outcomes for children.
Abstract:
Transitions of care (TOC) before, during, and after hospital discharge are an opportune setting to optimize medication management. The quality standards for pediatric care transitions, however, are lacking, leading to reduced health outcomes in children. This narrative review characterizes the pediatric populations that would benefit from focused, TOC interventions. Different types of medication-focused TOC interventions during hospital discharge are described, including medication reconciliation, education, access, and adherence tools. Various TOC intervention delivery models following hospital discharge are also reviewed. The goal of this narrative review is to help pediatric pharmacists and pharmacy leaders better understand TOC interventions and integrate them into the hospital discharge process for children and their caregivers.
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