Correct Medication List at and After Hospital Discharge

NCT05784194 | Completed

• 1 other identifier: TOER2022-03357-01
• Study Type: interventional
• Target: 65
• Locations: 1 country
• Sites: 1

Brief Summary

Medication treatment is not always optimal, and care transitions are problematic with errors and clinical consequences. The primary aim of this study is to evaluate the effects of an intervention to reduce errors, in the patient medication list when discharged from hospital to home. It will be secured that patients have the correct medications available for use after discharge and, that the information about current medications is correct in the Electronic Health Register and the pharmacy dispensing system. 100 patients 60 years and older, handling their own medications, and prescribed at least five continuous medications, Swedish or Arabic speaking, will be recruited from a hospital in Malmö before discharge. Discrepancies between the accurate medication list and patients' actual use will be followed up three weeks after discharge.

Conditions

Medication Errors

Keywords

randomised controlled trial; intervention; prospective

Outcome Measures

Primary Outcomes (2)

• Correct medication list

  Number of patients with a correct medication list at home 3 weeks after hospital discharge. Comparison between intervention and control patients assessed by pairs of blinded expert evaluators

  3 weeks after dischararge

• Clinical consequences associated with errors

  Patients with at least one error classified as moderate or high risk will be evaluated by paire of senior clicians. All contacts that these patients have with primary care or hospital care within 3 months after discharge will be documented and evaluated. A regional patient register (RSVD) will be used to investigate each contact.

  3 months after hospital discharge

Other Outcomes (1)

• Health economic evaluation

  3 months after hospital discharge

Study Arms (2)

Intervention for correct discharge medication list

EXPERIMENTAL

Identification of potential errors in medication list before discharge, information and actions to delete errors before discharge in collaboration between pharmacist (PhD student, patient and physician) on top of standard care

Procedure: Intervention for correct discharge medication list

Standard care

NO INTERVENTION

Standard care

Interventions

Intervention for correct discharge medication list PROCEDURE

As above

Intervention for correct discharge medication list

Eligibility Criteria

• Age: 60 Years - 120 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Planed for hospital discharge
• Handling their own medications at home
• At least five continuous medications
• Swedish or Arabic speaking

You may not qualify if:

• Unable to communicate their medication use

Sponsors & Collaborators

• Malmö University: lead
• Region Skane: collaborator
• Lund University: collaborator

Study Sites (1)

Skåne University Hospital

Malmo, 214 28, Sweden

Location

MeSH Terms

Interventions

Methods

Intervention Hierarchy (Ancestors)

Investigative Techniques

Study Officials

• Johan Engblom, Prof,

  Malmö University, Dept Biomedical Sciences. Head of Dept

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: PhD student prepare evaluation form for each patient including patient characteristics and important disease states, medication lists during the study period, hospital and primary care contacts including reason for contact and medical notes. Errors, risks, and clinical consequences based on an error is evaluated first individually then in consensus by two blinded senior clinicians.
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: January 4, 2023
• First Posted: March 24, 2023
• Study Start: October 1, 2022
• Primary Completion: March 1, 2024
• Study Completion: March 1, 2024
• Last Updated: November 21, 2024

Record last verified: 2024-11

Locations

SE (1)