Asunto(s)
Errores Diagnósticos , Servicio de Urgencia en Hospital/legislación & jurisprudencia , Mala Praxis/legislación & jurisprudencia , Accidentes por Caídas , Accidentes de Tránsito , Adolescente , Anestesia Local , Ira , Ciclismo/lesiones , Daño Encefálico Crónico/etiología , Daño Encefálico Crónico/prevención & control , Niño , Preescolar , Cicatriz/etiología , Circuncisión Masculina , Urgencias Médicas , Reacciones Falso Negativas , Resultado Fatal , Femenino , Gangrena/etiología , Gangrena/prevención & control , Deformidades Adquiridas de la Mano/etiología , Deformidades Adquiridas de la Mano/prevención & control , Traumatismos de la Mano/diagnóstico , Enfermedad de Hodgkin/complicaciones , Enfermedad de Hodgkin/diagnóstico , Humanos , Lactante , Recién Nacido , Vértebras Lumbares/lesiones , Masculino , Dolor/etiología , Paraplejía/etiología , Pene/lesiones , Neumotórax/etiología , Embarazo , Complicaciones del Embarazo , Radiografía , Recurrencia , Luxación del Hombro/diagnóstico por imagen , Fracturas de la Columna Vertebral/diagnóstico por imagen , Infecciones Estreptocócicas/diagnóstico , Accidente Cerebrovascular/complicaciones , Accidente Cerebrovascular/diagnóstico , Suturas/efectos adversos , Transporte de Pacientes , Heridas Punzantes/complicaciones , Adulto JovenRESUMEN
Although most health care services can and should be provided by their medical home, children will be referred or require visits to the emergency department (ED) for emergent clinical conditions or injuries. Continuation of medical care after discharge from an ED is dependent on parents or caregivers' understanding of and compliance with follow-up instructions and on adherence to medication recommendations. ED visits often occur at times when the majority of pharmacies are not open and caregivers are concerned with getting their ill or injured child directly home. Approximately one-third of patients fail to obtain priority medications from a pharmacy after discharge from an ED. The option of judiciously dispensing ED discharge medications from the ED's outpatient pharmacy within the facility is a major convenience that overcomes this obstacle, improving the likelihood of medication adherence. Emergency care encounters should be routinely followed up with primary care provider medical homes to ensure complete and comprehensive care.