Effect of a Pediatric Prescription Medication Discharge Program on Reducing Hospital Readmission Rates.
Effect of a Pediatric Prescription Medication Discharge Program on Reducing Hospital Readmission Rates.
复制标题
儿科处方药出院计划对降低再入院率的影响。
DOI：
10.5863/1551-6776-22.2.94
复制
发表时间：
2017
期刊：
影响因子：
--
通讯作者：
K. Crowley
中科院分区：
文献类型：
--
作者：
Laura A Leathers;K. Brittain;K. Crowley
目标
评估在一家大型学术医疗中心内的186张床位的儿童医院实施的儿科处方药出院交付和咨询计划，及其在减少再入院方面的有效性。
方法
本研究是对2014年9月1日至2014年11月30日期间从我院出院的<21岁患者的电子病历中的现有数据进行的回顾性图表审查。参与儿科出院计划的患者与未参与者进行比较。主要目的是确定患者是否在30天内再次入院。次要目的包括再入院时间、出院时诊断和出院时所在医院。
结果
总共评估了1804名患者。排除后，932例受试者纳入分析。共有393例（42.2%）患者参加了儿科药物出院和咨询计划，539例未参加。在参与该计划的患者中，52例（13.2%）在30天内再次入院，而未参与出院计划的患者为67例（12.4%），p = 0.717。诊断为恶性肿瘤和肾损伤的患者更有可能在此时间范围内再次入院，诊断为心脏缺陷或心脏病和恶性肿瘤的患者更有可能参加儿科处方药出院计划。
结论
参与儿科出院药物递送和咨询计划并没有降低30天内的再入院率。
OBJECTIVES
To evaluate the pediatric prescription medication discharge delivery and counseling program, implemented at an 186-bed children's hospital integrated within a larger academic medical center, and its effectiveness on reducing hospital readmissions.
METHODS
This study was a retrospective chart review of existing data in the electronic medical record from patients <21 years of age who were discharged from our institution between September 1, 2014, and November 30, 2014. Patients who participated in the pediatric discharge program were compared to non-participants. The primary objective was to determine if the patient was readmitted within 30 days. Secondary objectives included time until readmission, diagnosis at discharge, and hospital unit at discharge.
RESULTS
In total, 1804 patients were assessed. After exclusions, 932 subjects were included in the analysis. In total, 393 (42.2%) patients participated in the pediatric medication discharge and counseling program, and 539 did not participate. Of the patients who participated in the program, 52 were readmitted within 30 days (13.2%), compared with 67 patients (12.4%) who did not participate in the discharge program, p = 0.717. Patients with the diagnoses of malignancy and kidney injury were more likely to be readmitted within this time frame, and those with the diagnoses of heart defects or cardiology disorders and malignancy were more likely to participate in the pediatric prescription medication discharge program.
CONCLUSION
Participation in the pediatric discharge medication delivery and counseling program did not reduce hospital readmission rate within 30 days.
影响因子：
120.7
作者：
Berry, Jay G.;Toomey, Sara L.;Zaslavsky, Alan M.;Jha, Ashish K.;Nakamura, Mari M.;Klein, David J.;Feng, Jeremy Y.;Shulman, Shanna;Chiang, Vincent K.;Kaplan, William;Hall, Matt;Schuster, Mark A.
通讯作者：
Schuster, Mark A.