“Meds-in-Hand” Intervention to Reduce Critical Process Delays in Pediatric Human Immunodeficiency Virus Post-Exposure Prophylaxis

Author:

Epstein Rachel L12,Penwill Nicole3,Clarke Diana F1,Hamilton Sebastian4,Horbowicz Kevin4,Dorfman David35,Moses James M36,Cooper Ellen R23

Affiliation:

1. Department of Pediatrics, Section of Infectious Diseases, Boston Medical Center, Boston, Massachusetts, USA

2. Department of Medicine, Section of Infectious Diseases, Boston Medical Center, Boston, Massachusetts, USA

3. Department of Pediatrics, Boston University School of Medicine, Boston, Massachusetts, USA

4. Pharmacy Department, Boston Medical Center, Boston, Massachusetts, USA

5. Department of Pediatrics, Section of Emergency Medicine, Boston Medical Center, Boston, Massachusetts, USA

6. Department of Pediatrics, Boston Medical Center, Boston, Massachusetts, USA

Abstract

Abstract Pediatric human immunodeficiency virus post-exposure prophylaxis is frequently indicated, but delays in medication receipt are common. Using plan-do-study-act cycles, we developed a multidisciplinary collaboration to reduce critical process delays in our pediatric emergency department. Interruptions decreased from a median 1 per month pre-intervention to zero per month during the intervention.

Funder

Committee of Interns and Residents, Patient Care Fund Grant, Boston Medical Center

National Center for Advancing Translational Sciences

National Institutes of Health

Boston University (BU) Clinical and Translational Sciences Institute

National Institute of Allergy and Infectious Diseases

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,General Medicine,Pediatrics, Perinatology and Child Health

Reference13 articles.

1. Use of antiretroviral HIV post-exposure prophylaxis in sexually abused children and adolescents treated in an inner-city pediatric emergency department;Fajman;Child Abuse Negl,2006

2. HIV postexposure prophylaxis for children and adolescents;Babl;Am J Emerg Med,2000

3. HIV post-exposure prophylaxis provided at an urban paediatric emergency department to female adolescents after sexual assault;Merchant;Emerg Med J,2004

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