Effectiveness of Pre-Consultation Medication Reconciliation Service in Reducing Unintentional Medication Discrepancies During Transition of Care From Hospital Discharge to Primary Care Setting

NCT03181906 | Completed

• 1 other identifier: DSRB2015/01219
• Study Type: interventional
• Target: 200
• Locations: 0 countries
• Sites: N/A

Brief Summary

This study evaluates the the effectiveness of pre-consultation Medication Reconciliation Service in reducing unintentional medication discrepancies among patients who discharged from hospital to primary care.

Conditions

Medication Administered in Error; Medication Adherence

Keywords

medication discrepancy; primary care; transition of care

Outcome Measures

Primary Outcomes (1)

• Unintentional medication discrepancies

  Any unintentional medication discrepancies after doctor's consultation

  1 day

Secondary Outcomes (4)

• Types of medication discrepancies

  1 day

• Causes of medication discrepancies

  1 day

• Medication adherence

  30 days

• 30-day re-hospitalisation

  30 days

Study Arms (2)

Pre-Consultation Medication Reconciliation

EXPERIMENTAL

Participants underwent medication reconciliation service before their consultation with the attending doctor. A best possible medication history (BPMH) was created and saved as an electronic draft in the electronic medical record system.

Other: Pre-Consultation Medication Reconciliation

Control

NO INTERVENTION

Participants in the control group proceeded with usual care, where the doctor reviewed the patient's condition and ordered an electronic prescription

Interventions

Pre-Consultation Medication Reconciliation OTHER

Medication reconciliation service to be done for participants randomised to the intervention group

Pre-Consultation Medication Reconciliation

Eligibility Criteria

• Age: 21 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Age 21 years and older
• Patient or primary caregiver was able to provide informed consent
• Patient or primary caregiver was English, Mandarin or Malay speaking
• Patient was able to self-administer medications, or accompanied by a caregiver who assisted in administering medications
• Patient was prescribed 5 or more chronic medications
• The day of the study visit was the first follow-up visit in National Healthcare Group Polyclinics for chronic disease management after recent discharge from a local public hospital

You may not qualify if:

• Residents of nursing home
• The day of the study visit was for acute illness consult
• Unwilling to consent to a 30-day follow-up phone call.

Sponsors & Collaborators

• National Healthcare Group, Singapore: lead

MeSH Terms

Conditions

Medication Adherence

Condition Hierarchy (Ancestors)

Patient Compliance; Patient Acceptance of Health Care; Treatment Adherence and Compliance; Health Behavior; Behavior

Study Officials

• Kok Wai Kee, MMED

  National Healthcare Group Polyclinics

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER GOV
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Dr.

Study Record Dates

• First Submitted: June 2, 2017
• First Posted: June 9, 2017
• Study Start: March 11, 2016
• Primary Completion: February 28, 2017
• Study Completion: April 30, 2017
• Last Updated: June 9, 2017

Record last verified: 2017-06