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This presentation was delivered in session B2 of Quality Forum 2014 by: Ran Goldman Professor, Department of Pediatrics UBC
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Multicentre Study of Caregivers’ Literacy
Regarding Their Child’s Medication Use
Christine H. Smith MBBS Natalie Phillips MBBS
Alan L. Nager MD MHA Daniel M. Cohen MD Ran D. Goldman MD
Pretx.org
Medications • 75% of medications used by
children were never tested in children
• The dose used is derived frequently from adult studies
When it Really Matters
• Millions of families bring their children to the emergency department every year. – Primary provider is unavailable – Late at night – Perceiving emergency situation
In Emergency
• Lack of previous records • Busy setting • Primary providers unavailable • No time to search external records
Pharmanet modernization. Quality Forum 2013
Pharmanet modernization. Quality Forum 2013
Objective To assess the ability of parents and caregivers to recall and communicate information regarding their children’s medication usage in a pediatric Emergency Department (ED) population.
Methods
• 4 emergency departments • Interview with parents • Children 0-18 years • Structured 15-question survey • During the 7 days prior to their visit
Results
• 1563 caregivers were approached • 1433 (92%) interviews completed • Primary care provider in 1376 (96%) • 1 or more meds by 965 (67%) children
1564 Approached
1433 (92%) Completed
468 (33%) Using no
Prescribed or OTC Meds
468 (67%) Using
Prescribed or OTC Meds
Medical Problems
Number of Medications
Results
• Meaningful name in 1669 (82%) medications
• Name and dose for 987 (49%) medications
Meaningful Name
Meaningful Name and Dose
Side Effects Known
OTC MEDICATIONS 1089 (54%)
MEDICATION TYPES LANGUAGE AT HOME
PRESCRIBED MEDICATIONS 926 (46%) ENGLISH 1695 (84%)
• MEANINGFUL NAME 838 (91%)
• MEANINGFUL NAME AND DOSE (563 (60%)
• MEANINGFUL NAME 826 (76%)
• MEANINGFUL NAME AND DOSE 426 (39%))
• MEANINGFUL NAME 245 (75%)
• MEANINGFUL NAME AND DOSE 167 (51%)
• MEANINGFUL NAME 1424 (84%)
• MEANINGFUL NAME AND DOSE 820 (48%)
NOT ENGLISH 328 (16%)
OTC MEDICATIONS 1089 (54%)
MEDICATION TYPES LANGUAGE AT HOME
PRESCRIBED MEDICATIONS 926 (46%) ENGLISH 1695 (84%)
• MEANINGFUL NAME 838 (91%)
• MEANINGFUL NAME AND DOSE (563 (60%)
• MEANINGFUL NAME 826 (76%)
• MEANINGFUL NAME AND DOSE 426 (39%))
• MEANINGFUL NAME 245 (75%)
• MEANINGFUL NAME AND DOSE 167 (51%)
• MEANINGFUL NAME 1424 (84%)
• MEANINGFUL NAME AND DOSE 820 (48%)
NOT ENGLISH 328 (16%)
P < 0.001
OTC MEDICATIONS 1089 (54%)
MEDICATION TYPES LANGUAGE AT HOME
PRESCRIBED MEDICATIONS 926 (46%) ENGLISH 1695 (84%)
• MEANINGFUL NAME 838 (91%)
• MEANINGFUL NAME AND DOSE (563 (60%)
• MEANINGFUL NAME 826 (76%)
• MEANINGFUL NAME AND DOSE 426 (39%))
• MEANINGFUL NAME 245 (75%)
• MEANINGFUL NAME AND DOSE 167 (51%)
• MEANINGFUL NAME 1424 (84%)
• MEANINGFUL NAME AND DOSE 820 (48%)
NOT ENGLISH 328 (16%)
OTC MEDICATIONS 1089 (54%)
MEDICATION TYPES LANGUAGE AT HOME
PRESCRIBED MEDICATIONS 926 (46%) ENGLISH 1695 (84%)
• MEANINGFUL NAME 838 (91%)
• MEANINGFUL NAME AND DOSE (563 (60%)
• MEANINGFUL NAME 826 (76%)
• MEANINGFUL NAME AND DOSE 426 (39%))
• MEANINGFUL NAME 245 (75%)
• MEANINGFUL NAME AND DOSE 167 (51%)
• MEANINGFUL NAME 1424 (84%)
• MEANINGFUL NAME AND DOSE 820 (48%)
NOT ENGLISH 328 (16%)
P < 0.001
Conclusions Caregivers provided limited information regarding their child’s medication dose Especially : - English as a second language - Patients using OTC medications
Conclusions We suggest :
– Develop strategies to optimise medication literacy
– Provide medication lists to your patients
– Advocate bringing meds to health care providers