Medication Reconciliation Process in Clinical Practice

NCT07001137 | Completed

• 1 other identifier: 0014_CASA
• Study Type: observational
• Target: 386
• Locations: 1 country
• Sites: 1

Brief Summary

This study looks at how reviewing and confirming a patient's medications during a hospital stay can help reduce problems after they go home. It focuses on patients aged 75 and older who were admitted to a short-stay geriatric unit. The researchers compared three groups:

• Patients who did not receive any medication reconciliation (CTM),
• Patients who received CTM only at hospital admission,
• Patients who received CTM at both admission and discharge. The goal was to see if this process could lower the number of hospital readmissions, emergency room visits, and deaths within six months after discharge. The study is based on real data from a hospital in 2019 and was conducted by pharmacists and doctors working together.

Conditions

Medication Reconciliation; Patient Safety; Geriatrics; Hospital Readmission; Pharmaceutical Services; Transitions of Care

Outcome Measures

Primary Outcomes (1)

• Number of hospital readmissions within six months following discharge from the short-stay geriatric unit

  Six months after discharge from the short-stay geriatric unit

Study Arms (3)

Patients who did not receive any medication reconciliation (CTM)

Patients who received CTM only at hospital admission

Patients who received CTM at both admission and discharge

Eligibility Criteria

• Age: 75 Years+
• Sex: all
• Age Groups: Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

The study population consists of elderly patients aged 75 years and older who were hospitalized in the short-stay geriatric unit of Casanova Hospital between January 1 and August 31, 2019. These patients typically present with multiple chronic conditions and are often prescribed numerous medications (polymedicated), making them particularly vulnerable to medication errors during care transitions. The population is selected from a hospital-based, real-world clinical setting, and reflects a high-risk group for hospital readmission, emergency visits, and medication-related complications.

You may qualify if:

• \- All patients admitted to the short-stay geriatric unit of Casanova Hospital Between January 1st and August 31st, 2019

You may not qualify if:

• \- Patients who were discharged and then readmitted to the short-stay unit after a brief transfer to another unit (e.g., surgery, internal medicine, or intensive care).

Sponsors & Collaborators

• Centre Hospitalier de Saint-Denis: lead

Study Sites (1)

France

Saint-Denis, France, France

Location

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 23, 2025
• First Posted: June 3, 2025
• Study Start: October 15, 2021
• Primary Completion: January 15, 2022
• Study Completion: January 15, 2022
• Last Updated: June 3, 2025

Record last verified: 2025-05

Locations

FR (1)