The study aims to evaluate whether unscheduled return visits within one week for similar complaints are impacted by ensuring parents leave the emergency department (ED) with a prescription for appropriately dosed acetaminophen and ibuprofen for their child.
Children 6 to < 36 months of age being discharged home from Dell Children's Medical Center emergency department who are evaluated for fever
Caregiver fluent in English or Spanish
Previous enrollment in this study
Patient admitted to hospital
Parental request for a prescription for acetaminophen and/or ibuprofen
Trauma patient
Parallel
Prescription for weight-based dosing of antipyretic
Other interventionThe intervention group (n=220) will receive prescription with weight-based dosing for acetaminophen (also prescribed and known as Tylenol) and ibuprofen (also prescribed and known as Motrin).
Standard discharge instructions
Other interventionThe control group (n=220) will also receive standardized printed discharge instructions but no prescription. The discharge instructions include the appropriate dose of acetaminophen (also known as Tylenol) and ibuprofen (also known as Motrin).
Unscheduled return visits
The primary outcome will be unscheduled revisits to the emergency department or urgent care (binary endpoint, i.e., yes/no). This information will be obtained directly from the caregiver/parent of the child. One week (7 days) after the initial visit to the emergency department, research personnel will call the parent/caregiver to ask about length of symptoms and any unscheduled return visits to the emergency department or urgent care for the same symptoms. Any return visits to an emergency department or urgent care will be noted as yes. Well child visits will not be counted.
Parental satisfaction
Parental satisfaction with care received in the emergency department. Parents/caregivers will be contacted one week (7 days) after the initial visit to the emergency department and asked about their satisfaction with the visit ("How satisfied were you with the care your child received at the Dell Children's Medical Center Emergency Department?"). Responses are captured on a Likert scale (very satisfied, satisfied, neither satisfied nor dissatisfied, dissatisfied, very dissatisfied) and parents/caregivers will be given an opportunity to expand on the level of satisfaction.
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