Eliminating Risk of Preventable Adverse Drug Events at the Hospital-community Interface of Care

NCT01164137 | Completed Results DMC

• 1 other identifier: CMPA#2026
• Study Type: interventional
• Target: 156
• Locations: 1 country
• Sites: 1

Brief Summary

This initiative aims to decrease the risk of medication errors at the hospital-community interface as well as health system utilization following hospital discharge by implementing a pharmacist-led medication reconciliation in the patients' home within 72 hours of hospital discharge.

Conditions

Adverse Drug Events

Keywords

Adverse Drug Events; Medication Reconciliation; Pharmacist-led Intervention

Outcome Measures

Primary Outcomes (5)

• Health Services Utilization 3 Months Following Hospital Discharge

  Mean health services utilization 3 months following hospital discharge. The specific health services utilization was re-admission to hospital, admission to home care, admission to long-term care and visits to emergency departments.

  3 Months

• Health Services Utilization 6 Months Following Hospital Discharge

  Mean health services utilization 6 months following hospital discharge. The specific health services utilization was re-admission to hospital, admission to home care, admission to long-term care and visits to emergency departments.

  6 Months

• Health Services Utilization 9 Months Following Hospital Discharge

  Mean health services utilization 9 months following hospital discharge. The specific health services utilization was re-admission to hospital, admission to home care, admission to long-term care and visits to emergency departments.

  9 Months

• Health Services Utilization 12 Months Following Hospital Discharge

  Mean health services utilization 12 months following hospital discharge. The specific health services utilization was re-admission to hospital, admission to home care, admission to long-term care and visits to emergency departments.

  12 months

• Health Services Utilization 18 Months Following Hospital Discharge

  Mean health services utilization 18 months following hospital discharge. The specific health services utilization was re-admission to hospital, admission to home care, admission to long-term care and visits to emergency departments.

  18 months

Study Arms (2)

Medication Reconciliation Intervention

EXPERIMENTAL

Participants receiving a pharmacist-led home intervention conducted within 72 hours of hospital discharge aimed at identifying and correcting medication discrepancies.

Behavioral: Medication Reconciliation

Medication Reconciliation Non-Interven.

NO INTERVENTION

Participants not receiving a pharmacist-led home intervention conducted within 72 hours of hospital discharge aimed at identifying and correcting medication discrepancies.

Interventions

Medication Reconciliation BEHAVIORAL

A pharmacist-led home intervention conducted within 72 hours of hospital discharge aimed at correcting and identifying medication discrepancies.

Medication Reconciliation Intervention

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients attending the WestView Health Centre Medicine/Family Health Unit with at least one medication at discharge.

You may not qualify if:

• First Nations persons
• Residents of continuing care or assisted living facilities
• Persons not residing in the Edmonton, AB, Canada region
• Persons who obtain a score of 19 or less on the Mini Mental State Examination (MMSE)

Sponsors & Collaborators

• Westview Physician Collaborative: lead

Study Sites (1)

WestView Health Centre

Stony Plain, Alberta, T7Z 2M7, Canada

Location

MeSH Terms

Conditions

Drug-Related Side Effects and Adverse Reactions

Interventions

Medication Reconciliation

Condition Hierarchy (Ancestors)

Chemically-Induced Disorders

Intervention Hierarchy (Ancestors)

Medication Errors; Drug Therapy; Therapeutics; Medical Errors; Health Services; Health Care Facilities Workforce and Services; Medication Systems; Organization and Administration; Health Services Administration; Patient Care Management

Results Point of Contact

• Title: Allan Bailey, M.D.; Study Principal Investigator
• Organization: Westview Physician Collaborative

baileymd@telusplanet.net

(780)-975-1131

Study Officials

• Allan Bailey, M.D.

  Westview Physician Collaborative

  PRINCIPAL INVESTIGATOR

• Grace Moe, M.Sc.P.T.

  WestView Primary Care Network

  STUDY DIRECTOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 14, 2010
• First Posted: July 16, 2010
• Study Start: November 1, 2008
• Primary Completion: February 1, 2013
• Study Completion: February 1, 2013
• Last Updated: February 15, 2013
• Results First Posted: January 30, 2013

Record last verified: 2013-02

Locations

CA (1)