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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.
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:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Medication Reconciliation Intervention | Experimental | Participants receiving a pharmacist-led home intervention conducted within 72 hours of hospital discharge aimed at identifying and correcting medication discrepancies. |
|
| Medication Reconciliation Non-Interven. | No Intervention | Participants not receiving a pharmacist-led home intervention conducted within 72 hours of hospital discharge aimed at identifying and correcting medication discrepancies. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Medication Reconciliation | Behavioral | A pharmacist-led home intervention conducted within 72 hours of hospital discharge aimed at correcting and identifying medication discrepancies. |
| Measure | Description | Time Frame |
|---|---|---|
| Health Services Utilization 3 Months Following Hospital Discharge | 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. | 3 Months |
| Health Services Utilization 6 Months Following Hospital Discharge | 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. | 6 Months |
| Health Services Utilization 9 Months Following Hospital Discharge | 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. | 9 Months |
| Health Services Utilization 12 Months Following Hospital Discharge | 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. | 12 months |
| Health Services Utilization 18 Months Following Hospital Discharge | 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. | 18 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Allan Bailey, M.D. | Westview Physician Collaborative | Principal Investigator |
| Grace Moe, M.Sc.P.T. | WestView Primary Care Network | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| WestView Health Centre | Stony Plain | Alberta | T7Z 2M7 | Canada |
Three participants were excluded from the trail before assignment to groups because they obtained a score of 19 or less on the Mini Mental State Examination (MMSE).
Recruitment period began November 1, 2008 and ended June 30, 2010.
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| ID | Title | Description |
|---|---|---|
| FG000 | Experimental: Medication Reconciliation Intervention | Medication Reconciliation : Participants receiving a pharmacist-led home intervention conducted within 72 hours of hospital discharge aimed at correcting and identifying medication discrepancies. |
| FG001 | Control: Medication Reconciliation Non-Intervention | Medication Reconciliation : Participants not receiving a pharmacist-led home intervention conducted within 72 hours of hospital discharge aimed at correcting and identifying medication discrepancies. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Experimental: Medication Reconciliation Intervention | Medication Reconciliation : Participants receiving a pharmacist-led home intervention conducted within 72 hours of hospital discharge aimed at correcting and identifying medication discrepancies. |
| BG001 | Control: Medication Reconciliation Non-Intervention |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Health Services Utilization 3 Months Following Hospital Discharge | 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. | Posted | Mean | Standard Error | Health Services Utilizations | 3 Months |
|
1 year, 7 months (i.e., November 1, 2008 to June 30, 2010)
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Experimental: Medication Reconciliation Intervention | Medication Reconciliation : Participants receiving a pharmacist-led home intervention conducted within 72 hours of hospital discharge aimed at correcting and identifying medication discrepancies. |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Allan Bailey, M.D.; Study Principal Investigator | Westview Physician Collaborative | (780)-975-1131 | baileymd@telusplanet.net |
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| ID | Term |
|---|---|
| D064420 | Drug-Related Side Effects and Adverse Reactions |
| ID | Term |
|---|---|
| D064419 | Chemically-Induced Disorders |
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| ID | Term |
|---|---|
| D059065 | Medication Reconciliation |
| ID | Term |
|---|---|
| D008508 | Medication Errors |
| D004358 | Drug Therapy |
| D013812 | Therapeutics |
| D019300 | Medical Errors |
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Medication Reconciliation : Participants not receiving a pharmacist-led home intervention conducted within 72 hours of hospital discharge aimed at correcting and identifying medication discrepancies. |
| BG002 | Total | Total of all reporting groups |
| Participants |
|
| Age Continuous | Mean | Standard Deviation | years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
Medication Reconciliation : Participants not receiving a pharmacist-led home intervention conducted within 72 hours of hospital discharge aimed at correcting and identifying medication discrepancies.
|
|
|
| Primary | Health Services Utilization 6 Months Following Hospital Discharge | 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. | Posted | Mean | Standard Error | Health Services Utilizations | 6 Months |
|
|
|
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| Primary | Health Services Utilization 9 Months Following Hospital Discharge | 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. | Posted | Mean | Standard Error | Health Services Utilizations | 9 Months |
|
|
|
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| Primary | Health Services Utilization 12 Months Following Hospital Discharge | 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. | Posted | Mean | Standard Error | Health Services Utilizations | 12 months |
|
|
|
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| Primary | Health Services Utilization 18 Months Following Hospital Discharge | 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. | Posted | Mean | Standard Error | Health Services Utilizations | 18 months |
|
|
|
|
| 0 |
| 80 |
| 0 |
| 80 |
| EG001 | Control: Medication Reconciliation Non-Intervention | Medication Reconciliation : Participants not receiving a pharmacist-led home intervention conducted within 72 hours of hospital discharge aimed at correcting and identifying medication discrepancies. | 0 | 76 | 0 | 76 |
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| D006296 |
| Health Services |
| D005159 | Health Care Facilities Workforce and Services |
| D008509 | Medication Systems |
| D009934 | Organization and Administration |
| D006298 | Health Services Administration |
| D010346 | Patient Care Management |