scholarly journals Safe and Effective Medication Use in the Emergency Department

2010 ◽  
Vol 63 (1) ◽  
Author(s):  
Dawn Dalen
Keyword(s):  
Emergency Department ◽  
Medication Use ◽  
Effective Medication

Polypharmacy and Potentially Inappropriate Medication Use in Older Blacks with Diabetes Mellitus Presenting to the Emergency Department

2021 ◽  
pp. 089826432110455
Author(s):  
Ginah Nightingale ◽  
Emily M. Scopelliti ◽  
Robin Casten ◽  
Monica Woloshin ◽  
Shu Xiao ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Emergency Department ◽  
Controlled Trial ◽  
Inappropriate Medication ◽  
Medication Use ◽  
Potentially Inappropriate Medication ◽  
Cross Sectional ◽  
Randomized Controlled ◽  
Inappropriate Medication Use ◽  
Sectional Analysis

Background: Medication-related problems in older Blacks with diabetes mellitus (DM) are not well established. Objectives: To describe the frequency of medication-related problems in older Blacks with DM presenting to the emergency department (ED). Methods: The study was a cross-sectional analysis of baseline data from a randomized controlled trial evaluating Blacks aged ≥60 years of age presenting to the ED. Polypharmacy, potentially inappropriate medication (PIM) use, and anticholinergic score were evaluated. Results: Of 168 patients (median age = 68, range 60–92), most ( n = 164, 98%) were taking ≥5 medications, and 67 (39.9%) were taking a PIM. A majority ( n = 124, 74%) were taking a medication with an anticholinergic score ≥1. Number of medications was correlated with number of PIMs ( r = .22, p = .004) and anticholinergic score ( r = .50, p < .001). Conclusion: Polypharmacy and PIM use was common in older Blacks with DM.

scholarly journals Enhancing Safe Medication Use for Pediatric Patients in the Emergency Department

2009 ◽  
Vol 62 (2) ◽  
Author(s):  
Julie Greenall ◽  
Pauline Santora ◽  
Christine Koczmara ◽  
Sylvia Hyland
Keyword(s):  
Emergency Department ◽  
Pediatric Patients ◽  
Medication Use ◽  
Safe Medication

Survey in the Emergency Department of Parents’ Understanding of Cough and Cold Medication Use in Children Younger Than 2 Years

2012 ◽  
Vol 28 (9) ◽  
pp. 883-885 ◽  
Author(s):  
Shawn M. Varney ◽  
Vikhyat S. Bebarta ◽  
Rebecca L. Pitotti ◽  
Toni E. Vargas
Keyword(s):  
Emergency Department ◽  
Medication Use

Effectiveness of interventions to improve medication use during rapid-sequence intubation in a pediatric emergency department

2017 ◽  
Vol 74 (17) ◽  
pp. 1353-1362 ◽  
Author(s):  
Michelle C. Caruso ◽  
Jenna R. Dyas ◽  
Matthew R. Mittiga ◽  
Andrea S. Rinderknecht ◽  
Benjamin T. Kerrey
Keyword(s):  
Emergency Department ◽  
Medication Use ◽  
Pediatric Emergency ◽  
Rapid Sequence Intubation ◽  
Pediatric Emergency Department ◽  
Rapid Sequence

scholarly journals Quantity of opioids consumed following an emergency department visit for acute pain: a Canadian prospective cohort study

BMJ Open ◽  
2018 ◽  
Vol 8 (9) ◽  
pp. e022649 ◽  
Author(s):  
Raoul Daoust ◽  
Jean Paquet ◽  
Alexis Cournoyer ◽  
Éric Piette ◽  
Judy Morris ◽  
...  
Keyword(s):  
Emergency Department ◽  
Cohort Study ◽  
Abdominal Pain ◽  
Acute Pain ◽  
Prospective Cohort ◽  
Renal Colic ◽  
Medication Use ◽  
Pain Medication ◽  
Pain Condition

ObjectivesPrescription opioid diversion is a significant contributor to the opioid misuse epidemic. We examined the quantity of opioids consumed by emergency department (ED) discharged patients after treatment for an acute pain condition (musculoskeletal, fracture, renal colic, abdominal pain and other), and the percentage of unused opioids available for potential misuse.DesignProspective cohort study.SettingTertiary care trauma centre academic hospital.ParticipantsA convenience sample of patients ≥18 years who visited the ED for an acute pain condition (≤2 weeks) and were discharged with an opioid prescription. Patients completed a 14-day paper diary of daily pain medication use. To reduce lost to follow-up, participants also responded to standardised phone interview questions about their previous 14-day pain medication use.OutcomesQuantity of morphine 5 mg tablets (or equivalent) prescribed, consumed and unused during a 14-day follow-up. Quantity of opioids to adequately supply 80% of patients for 2 weeks and 95% of patients for the first 3 days was also calculated.ResultsResults for 627 patients were analysed (mean age ±SD: 51±16 years, 48% women). Patients consumed a median of seven tablets of morphine 5 mg (32% of the total prescribed opioids). The quantity of opioids to adequately supply 80% of patients for 2 weeks was 20 tablets of morphine 5 mg for musculoskeletal pain, 30 for fracture, 15 for renal colic or abdominal pain and 20 for other pain conditions. The quantity to adequately supply 95% of patients for the first 3 days was 15 tablets of morphine 5 mg.ConclusionsPatients discharged from the ED with an acute pain condition consumed a median of fewer than 10 tablets of morphine 5 mg (or equivalent). ED physicians should consider prescribing a smaller quantity of opioids and asking the pharmacist to dispense them in portions to minimise unused opioids.Trial registration numberNCT02799004; Results.

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