Quality Improvement Targeting Adherence During the Transition from a Pediatric to Adult Liver Transplant Clinic

摘要: The transition from pediatric to adult transplant care is a high risk period for non-adherence and poor health outcomes. This article describes quality improvement initiative integrated into liver program that focused on improving outcomes following the transfer care. Using science methodology, we evaluated impact of our center’s readiness skills (TRS) by conducting chart review 45 recipients who transferred Medication adherence, clinic attendance, status variables were examined year pre-transfer first post-transfer. 19 without participating in TRS (control group) 26 participated prior transferring (TRS group). group was significantly older at time transfer, more adherent with medications, likely attend their visit compared control group. Among group, better adolescent parent regimen knowledge associated greater adherence post-transfer appointments. Transition planning should focus gradual shift responsibility management tasks, including adolescent. There may be support extending least 1 year promote adherence.