Related Experiment Video

Updated: Jun 2, 2025

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
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Improving Pediatric Emergency Department Access to Discharge Prescriptions

Claci Ayers1, Heather Canady2, Elizabeth Humphreys2

  • 1Division of Pediatric Emergency Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.

Hospital Pediatrics
|January 14, 2025
PubMed

Insights

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.

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.
Abstract

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