Eliminating Risk of Preventable Adverse Drug Events at the Hospital-community Interface of Care (CMR)
This study has been completed.
Sponsor:
Westview Physician Collaborative
Information provided by (Responsible Party):
Westview Physician Collaborative
ClinicalTrials.gov Identifier:
NCT01164137
First received: July 14, 2010
Last updated: February 12, 2013
Last verified: February 2013
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Purpose
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.
| Condition | Intervention |
|---|---|
|
Adverse Drug Events |
Behavioral: Medication Reconciliation |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Health Services Research |
| Official Title: | Eliminating Risk of Preventable Adverse Drug Events at the Hospital-community Interface of Care: to Develop and Test a Community-based Medication Reconciliation Program and a Risk Prediction Model That Identifies High-risk Patient Groups |
Further study details as provided by Westview Physician Collaborative:
Primary Outcome Measures:
- Health Services Utilization 3 Months Following Hospital Discharge [ Time Frame: 3 Months ] [ Designated as safety issue: Yes ]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.
- Health Services Utilization 6 Months Following Hospital Discharge [ Time Frame: 6 Months ] [ Designated as safety issue: Yes ]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.
- Health Services Utilization 9 Months Following Hospital Discharge [ Time Frame: 9 Months ] [ Designated as safety issue: Yes ]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.
- Health Services Utilization 12 Months Following Hospital Discharge [ Time Frame: 12 months ] [ Designated as safety issue: Yes ]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.
- Health Services Utilization 18 Months Following Hospital Discharge [ Time Frame: 18 months ] [ Designated as safety issue: Yes ]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.
| Enrollment: | 156 |
| Study Start Date: | November 2008 |
| Study Completion Date: | February 2013 |
| Primary Completion Date: | February 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Medication Reconciliation Intervention
Participants receiving a pharmacist-led home intervention conducted within 72 hours of hospital discharge aimed at identifying and correcting medication discrepancies.
|
Behavioral: Medication Reconciliation
A pharmacist-led home intervention conducted within 72 hours of hospital discharge aimed at correcting and identifying medication discrepancies.
|
|
No Intervention: Medication Reconciliation Non-Interven.
Participants not receiving a pharmacist-led home intervention conducted within 72 hours of hospital discharge aimed at identifying and correcting medication discrepancies.
|
Detailed Description:
The goals of this initiative are to decrease the risk for medication errors at the hospital community interface of care, thus decreasing preventable adverse drug events and preventable drug-related health system utilization following hospital discharge. This initiative has four objectives that aim to:
- Develop and test a community-based medication reconciliation process/intervention.
- Design and conduct a randomized controlled trial to examine the impact of the intervention on post-discharge health services utilization by comparing a set of outcome variables between intervention and non-intervention groups.
- Design a risk prediction model that helps identify patients discharged from in-patient care with the highest level of need for the intervention.
- Determine whether a community-based medication reconciliation process/intervention adds risk reduction value to individuals who have undergone an in-hospital medication reconciliation.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Criteria
Inclusion Criteria:
- Patients attending the WestView Health Centre Medicine/Family Health Unit with at least one medication at discharge.
Exclusion Criteria:
- 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)
Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01164137
Locations
| Canada, Alberta | |
| WestView Health Centre | |
| Stony Plain, Alberta, Canada, T7Z 2M7 | |
Sponsors and Collaborators
Westview Physician Collaborative
Investigators
| Principal Investigator: | Allan Bailey, M.D. | Westview Physician Collaborative |
| Study Director: | Grace Moe, M.Sc.P.T. | WestView Primary Care Network |
More Information
No publications provided
| Responsible Party: | Westview Physician Collaborative |
| ClinicalTrials.gov Identifier: | NCT01164137 History of Changes |
| Other Study ID Numbers: | CMPA#2026 |
| Study First Received: | July 14, 2010 |
| Results First Received: | July 19, 2012 |
| Last Updated: | February 12, 2013 |
| Health Authority: | Canada: Ethics Review Committee |
Keywords provided by Westview Physician Collaborative:
|
Adverse Drug Events Medication Reconciliation Pharmacist-led Intervention |
Additional relevant MeSH terms:
|
Drug Toxicity Poisoning Substance-Related Disorders |
ClinicalTrials.gov processed this record on May 16, 2013