{"id":"https://openalex.org/W2990469437","doi":"https://doi.org/10.1542/peds.2019-0674","title":"Multidisciplinary Engagement Increases Medications in-Hand for Patients Hospitalized With Asthma","display_name":"Multidisciplinary Engagement Increases Medications in-Hand for Patients Hospitalized With Asthma","publication_year":2019,"publication_date":"2019-11-21","ids":{"openalex":"https://openalex.org/W2990469437","doi":"https://doi.org/10.1542/peds.2019-0674","mag":"2990469437","pmid":"https://pubmed.ncbi.nlm.nih.gov/31753910","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13454937"},"language":"en","primary_location":{"id":"doi:10.1542/peds.2019-0674","doi":"https://doi.org/10.1542/peds.2019-0674","is_oa":false,"landing_page_url":"https://doi.org/10.1542/peds.2019-0674","pdf_url":null,"source":{"id":"https://openalex.org/S77494981","display_name":"PEDIATRICS","issn_l":"0031-4005","issn":["0031-4005","1098-4275"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-a","doyens","erih-plus","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315734","host_organization_name":"American Academy of Pediatrics","host_organization_lineage":["https://openalex.org/P4310315734"],"host_organization_lineage_names":["American Academy of Pediatrics"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Pediatrics","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13454937/","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5024034733","display_name":"Kavita Parikh","orcid":"https://orcid.org/0000-0003-0622-1691","observed_orcids":["https://orcid.org/0000-0003-0622-1691"]},"institutions":[{"id":"https://openalex.org/I1336742384","display_name":"Children's National","ror":"https://ror.org/03wa2q724","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1336742384"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kavita Parikh","raw_affiliation_strings":["Children's National Hospital and the George Washington School of Medicine, Washington, District of Columbia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Children's National Hospital and the George Washington School of Medicine, Washington, District of Columbia","institution_ids":["https://openalex.org/I1336742384"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5049403044","display_name":"Karen Perry","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1336742384","display_name":"Children's National","ror":"https://ror.org/03wa2q724","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1336742384"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Karen Perry","raw_affiliation_strings":["Children's National Hospital and the George Washington School of Medicine, Washington, District of Columbia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Children's National Hospital and the George Washington School of Medicine, Washington, District of Columbia","institution_ids":["https://openalex.org/I1336742384"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5071735394","display_name":"Candice Pantor","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1336742384","display_name":"Children's National","ror":"https://ror.org/03wa2q724","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1336742384"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Candice Pantor","raw_affiliation_strings":["Children's National Hospital and the George Washington School of Medicine, Washington, District of Columbia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Children's National Hospital and the George Washington School of Medicine, Washington, District of Columbia","institution_ids":["https://openalex.org/I1336742384"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5025748818","display_name":"Catherine Gardner","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1336742384","display_name":"Children's National","ror":"https://ror.org/03wa2q724","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1336742384"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Catherine Gardner","raw_affiliation_strings":["Children's National Hospital and the George Washington School of Medicine, Washington, District of Columbia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Children's National Hospital and the George Washington School of Medicine, Washington, District of Columbia","institution_ids":["https://openalex.org/I1336742384"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I1336742384"],"apc_list":null,"apc_paid":null,"fwci":0.8175,"has_fulltext":false,"cited_by_count":6,"citation_normalized_percentile":{"value":0.80416771,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":95},"biblio":{"volume":"144","issue":"6","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12871","display_name":"Healthcare Quality and Management","score":0.37279999256134033,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12871","display_name":"Healthcare Quality and Management","score":0.37279999256134033,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10508","display_name":"Patient Safety and Medication Errors","score":0.27950000762939453,"subfield":{"id":"https://openalex.org/subfields/3604","display_name":"Emergency Medical Services"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12174","display_name":"Hospital Admissions and Outcomes","score":0.05649999901652336,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/childhood-asthma","display_name":"childhood asthma","score":0.7749999761581421},{"id":"https://openalex.org/keywords/asthma-exacerbations","display_name":"asthma exacerbations","score":0.8209999799728394},{"id":"https://openalex.org/keywords/hospital-discharge","display_name":"hospital discharge","score":0.9150000214576721},{"id":"https://openalex.org/keywords/multidisciplinary-team","display_name":"multidisciplinary team","score":0.8299999833106995},{"id":"https://openalex.org/keywords/patient-safety","display_name":"patient safety","score":0.36800000071525574},{"id":"https://openalex.org/keywords/quality-improvement","display_name":"quality improvement","score":0.5910000205039978},{"id":"https://openalex.org/keywords/discharge-transition","display_name":"discharge transition","score":0.3889999985694885},{"id":"https://openalex.org/keywords/public-insurance","display_name":"public insurance","score":0.4560000002384186},{"id":"https://openalex.org/keywords/african-american-children","display_name":"African American children","score":0.5820000171661377}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9414799213409424},{"id":"https://openalex.org/C22467394","wikidata":"https://www.wikidata.org/wiki/Q849359","display_name":"Multidisciplinary approach","level":2,"score":0.7803518772125244},{"id":"https://openalex.org/C2776042228","wikidata":"https://www.wikidata.org/wiki/Q35869","display_name":"Asthma","level":2,"score":0.738227367401123},{"id":"https://openalex.org/C2777014857","wikidata":"https://www.wikidata.org/wiki/Q1383410","display_name":"Exacerbation","level":2,"score":0.6405903697013855},{"id":"https://openalex.org/C2426938","wikidata":"https://www.wikidata.org/wiki/Q3355478","display_name":"Medical prescription","level":2,"score":0.609865665435791},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.46535688638687134},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.4200728237628937},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.399168998003006},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.36563408374786377},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.3453475832939148},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.33413949608802795},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.15605902671813965},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.11676064133644104},{"id":"https://openalex.org/C36289849","wikidata":"https://www.wikidata.org/wiki/Q34749","display_name":"Social science","level":1,"score":0.0},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000069341","descriptor_name":"Transitional Care","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D001249","descriptor_name":"Asthma","qualifier_ui":"Q000188","qualifier_name":"drug therapy","is_major_topic":true},{"descriptor_ui":"D001249","descriptor_name":"Asthma","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D002648","descriptor_name":"Child","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004219","descriptor_name":"District of Columbia","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010348","descriptor_name":"Patient Care Team","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D010351","descriptor_name":"Patient Discharge","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010607","descriptor_name":"Pharmacy Service, Hospital","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D011307","descriptor_name":"Drug Prescriptions","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D018450","descriptor_name":"Disease Progression","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018927","descriptor_name":"Anti-Asthmatic Agents","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":true},{"descriptor_ui":"D055118","descriptor_name":"Medication Adherence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":3,"locations":[{"id":"doi:10.1542/peds.2019-0674","doi":"https://doi.org/10.1542/peds.2019-0674","is_oa":false,"landing_page_url":"https://doi.org/10.1542/peds.2019-0674","pdf_url":null,"source":{"id":"https://openalex.org/S77494981","display_name":"PEDIATRICS","issn_l":"0031-4005","issn":["0031-4005","1098-4275"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-a","doyens","erih-plus","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315734","host_organization_name":"American Academy of Pediatrics","host_organization_lineage":["https://openalex.org/P4310315734"],"host_organization_lineage_names":["American Academy of Pediatrics"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Pediatrics","raw_type":"journal-article"},{"id":"pmid:31753910","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/31753910","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Pediatrics","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13454937","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13454937/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Pediatrics","raw_type":"Text"}],"best_oa_location":{"id":"pmh:oai:pubmedcentral.nih.gov:13454937","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13454937/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Pediatrics","raw_type":"Text"},"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[{"id":"https://openalex.org/G2498892158","display_name":null,"funder_award_id":"K08 HS024554","funder_id":"https://openalex.org/F4320332177","funder_display_name":"Agency for Healthcare Research and Quality"}],"funders":[{"id":"https://openalex.org/F4320332177","display_name":"Agency for Healthcare Research and Quality","ror":"https://ror.org/03jmfdf59"}],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":18,"referenced_works":["https://openalex.org/W629821076","https://openalex.org/W1516504464","https://openalex.org/W1812755018","https://openalex.org/W2020528964","https://openalex.org/W2056663940","https://openalex.org/W2071755036","https://openalex.org/W2125819357","https://openalex.org/W2161263745","https://openalex.org/W2288873333","https://openalex.org/W2326339418","https://openalex.org/W2327252256","https://openalex.org/W2755594109","https://openalex.org/W2772320380","https://openalex.org/W2788940507","https://openalex.org/W2796326373","https://openalex.org/W2899026795","https://openalex.org/W2972214123","https://openalex.org/W4235755338"],"related_works":["https://openalex.org/W2327252256","https://openalex.org/W4322706512","https://openalex.org/W2553157747","https://openalex.org/W7001161969","https://openalex.org/W2326339418","https://openalex.org/W4206469206","https://openalex.org/W7131288730","https://openalex.org/W1895564731","https://openalex.org/W2280083603","https://openalex.org/W7160557455"],"abstract_inverted_index":{"BACKGROUND:":[0],"Asthma":[1],"exacerbations":[2],"in":[3,118,210,237],"children":[4,145,149,220,242],"are":[5,29],"a":[6,72,155,180,187,234],"leading":[7],"cause":[8],"of":[9,44,66,92,128,158,197,217],"missed":[10],"school":[11],"days":[12],"and":[13,28,78,146,164,174,186,199],"health":[14],"care":[15],"use.":[16],"Patients":[17],"discharged":[18,46,94],"from":[19,47,58,63,138],"the":[20,42,48,64,90,100,109,112,119,123,126,177,204,215],"hospital":[21,49],"often":[22],"do":[23],"not":[24],"fill":[25],"discharge":[26,106,200,218,230,239],"prescriptions":[27],"at":[30,203,214],"risk":[31],"for":[32,142,148,183,219,241],"future":[33],"exacerbations.":[34],"METHODS:":[35],"A":[36],"multidisciplinary":[37,104,178,227],"team":[38],"aimed":[39],"to":[40,60,70,88,140],"increase":[41],"percentage":[43,127],"patients":[45,93,129],"after":[50],"an":[51],"asthma":[52,131,223],"exacerbation":[53],"with":[54,95,130,150,176,222,243],"their":[55,96,134],"medications":[56,97,135,201],"in-hand":[57,98,136],"15%":[59,139],"80%.":[61],"Tools":[62],"model":[65],"improvement":[67],"were":[68,86,162,191,224],"used":[69,87],"establish":[71],"process":[73,83,181],"map,":[74],"key":[75,113,188,235],"driver":[76,189],"diagram,":[77],"iterative":[79,172],"plan-do-study-act":[80],"cycles.":[81],"Statistical":[82],"control":[84],"charts":[85],"track":[89],"proportion":[91],"as":[99,167],"primary":[101],"outcome.":[102],"Initiating":[103],"daily":[105],"huddles":[107],"on":[108],"unit":[110],"was":[111],"intervention":[114],"that":[115],"facilitated":[116,225],"change":[117],"system.":[120],"RESULTS:":[121],"During":[122],"study":[124],"period,":[125],"who":[132],"received":[133],"increased":[137],">80%":[141],"all":[143],"eligible":[144],">90%":[147],"public":[151],"insurance.":[152],"Children":[153],"had":[154],"median":[156],"age":[157],"6.7":[159],"years,":[160],"47%":[161],"female,":[163],"83.8%":[165],"identified":[166],"non-Hispanic":[168],"African":[169],"American.":[170],"Through":[171],"meetings":[173],"mapping":[175],"team,":[179],"map":[182],"bedside":[184],"delivery":[185],"diagram":[190],"created.":[192],"Balancing":[193],"measures,":[194],"specifically":[195],"length":[196],"stay":[198],"forgotten":[202],"hospital,":[205],"remained":[206],"constant.":[207],"CONCLUSIONS:":[208],"Improvements":[209],"increasing":[211],"medication":[212],"possession":[213],"time":[216],"hospitalized":[221],"by":[226],"engagement.":[228],"Standardizing":[229],"initiatives":[231],"may":[232],"play":[233],"role":[236],"improving":[238],"transitions":[240],"asthma.":[244]},"counts_by_year":[{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":2},{"year":2022,"cited_by_count":1},{"year":2021,"cited_by_count":1},{"year":2020,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2019-12-05T00:00:00"}
