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Related Concept Videos

Discharge Summary Forms01:31

Discharge Summary Forms

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The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
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The enteral drug administration involves three primary routes: oral, sublingual, and buccal. Oral ingestion is the most prevalent, safe, economical, and convenient method for drug administration. However, it has certain drawbacks, including limited absorption due to the drug's low water solubility or poor membrane permeability, possible emesis from GI mucosa irritation, destruction of drugs by digestive enzymes or low gastric pH, and irregular absorption along with food or other drugs.
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Improving Pediatric Emergency Department Access to Discharge Prescriptions.

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Improving pediatric emergency department (PED) prescription fill rates, this study increased prescriptions sent to the onsite outpatient pharmacy (OOP) from 8.9% to over 70% using quality improvement methods.

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Area of Science:

  • Pediatric Emergency Medicine
  • Health Services Research
  • Pharmacy Practice

Background:

  • One-third of pediatric emergency department (PED) prescriptions are not filled by patients.
  • Onsite outpatient pharmacies (OOPs) can improve prescription fill rates.

Purpose of the Study:

  • To increase the percentage of PED discharge prescriptions sent to the OOP during open hours from a baseline of 8.9% to a target of 70% by June 2022.

Main Methods:

  • A quality improvement initiative utilized a multidisciplinary team, data analysis with statistical process control charts, and interventions.
  • Key interventions included an education campaign, electronic medical record modifications, and on-shift project champions.

Main Results:

  • The percentage of PED prescriptions sent to the OOP increased from a baseline of 8.9% to a peak mean of 70.9%, sustained for 9 months.
  • The rate of unfilled prescriptions at the OOP remained stable at 15.8% as OOP utilization increased.

Conclusions:

  • Quality improvement methodology successfully increased the proportion of PED prescriptions directed to the OOP.
  • This increase in prescription routing to the OOP was achieved while maintaining a consistent rate of unfilled prescriptions, supporting expanded OOP hours.