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Updated: Jun 2, 2025
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A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
Published on: November 9, 2016
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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
Summary
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.
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