The Impact Of Clinical Pharmacists Medication Reconciliation Upon Patients Admission To Reduce Medication Discrepancies.

NCT04395443 | Completed

• 1 other identifier: 0304494
• Study Type: interventional
• Target: 161
• Locations: 1 country
• Sites: 1

Brief Summary

It is a quazai one arm study shows the impact of the role of the clinical pharmacists through medication reconciliation to patients admitted to the emergency department .The main aim is to show if the pharmacists intervention is associated with establishing a complete drug history list than the list already presented in the patient file and taken by the physician .Then a description of the medication errors detected will be done .

Conditions

Medication Reconcilitation Upon Hospital Admission

Keywords

Medication reconcilitation; Medication discrepancies; Admission pharmacist

Outcome Measures

Primary Outcomes (4)

• the total number of complete and accurate drug history list detected in each phase.

  to calculate the total number of complete and accurate drug history list taken by the physicians and already presented in the profile (pre phase) and the total number of complete and accurate drug history list taken by the clinical pharmacists after medication reconciliation (post phase).

  2 months

• Detect the number of medication discrepancies and the proportion of the prescriptions with one or more medication discrepancies

  Calculate the total number of medication discrepancies detected after medication reconciliation and then calculate and the proportion of the prescriptions with one or more medication discrepancies from the total number of prescriptions. 2- to classify the medication discrepancies using Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation. 2- to classify the medication discrepancies using Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation. 2- to classify the medication discrepancies using Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation. to classify the medication discrepancies using Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation and NCC MERP index

  2 months

• classification of medication discrepancies

  to classify the medication discrepancies according to MATCH toolkit for medication reconciliation and NCC MERP index. 3- to calculate the proportion of the patients detected with one or more medication discrepancies 3- to calculate the proportion of the patients detected with one or more medication discrepancies 3- to calculate the proportion of the patients detected with one or more medication discrepancies to calculate the proportion of the patients detected with one or more medication discrepancies

  2 months

• the total number of complete medication history lists will be written in the patients profiles

  to calculate the total number of complete medication history lists will be written in the patients profiles by the clinical pharmacists after their interventions..

  2 months

Study Arms (1)

patients admitted to emergency department

EXPERIMENTAL

the intervention is the medication reconciliation

Other: medication reconciliation

Interventions

medication reconciliation OTHER

the emergency clinical pharmacists will start medication reconciliation with the admitted patients and a full diseases and preadmission medications history will be taken.A comparison between the accuracy and completeness of drug history lists already presented in the profile and drug history taken by the clinical pharmacists to detect the medication discrepancies

patients admitted to emergency department

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients with one or more chronic disease / drug.

You may not qualify if:

• \- Patients who cannot communicate or have no family members.

Sponsors & Collaborators

• Alexandria University: lead

Study Sites (1)

Alexandria Main University Hospital

Alexandria, Egypt

Location

Related Publications (1)

• Shaker HO, Sabry AAF, Salah A, Ragab GM, Sedik NA, Ali Z, Magdy D, Alkafafy AM. The impact of clinical pharmacists' medication reconciliation upon patients' admission to reduce medication discrepancies in the emergency department: a prospective quasi-interventional study. Int J Emerg Med. 2023 Dec 15;16(1):89. doi: 10.1186/s12245-023-00568-z.

  PMID: 38102544 DERIVED

MeSH Terms

Interventions

Medication Reconciliation

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

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Supervisor of clinical pharmacy units in Alexandria Main University Hospital

Study Record Dates

• First Submitted: May 16, 2020
• First Posted: May 20, 2020
• Study Start: September 25, 2020
• Primary Completion: November 30, 2020
• Study Completion: November 30, 2020
• Last Updated: October 13, 2022

Record last verified: 2020-12

Locations

EG (1)