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This study evaluates the impact of optimizing drug prescriptions on re-admissions of elderly patients within 30 days after hospital discharge. It compares a group of patients receiving comprehensive care (medication reconciliation at hospital entry, multidisciplinary medication review, and medication reconciliation at discharge), versus another group that does not benefit from the program.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control | No Intervention | Standard healthcare procedures | |
| experimental: Reconciliation group | Experimental | medical reconciliation at admission, multidisciplinary medication review, medical reconciliation at discharge of the hospital |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| global care | Other | Medication Reconciliation at admission, Multidisciplinary medication review, Medication Reconciliation at discharge |
|
| Measure | Description | Time Frame |
|---|---|---|
| Rate of readmission at 30 days | Evaluate the impact of optimizing drug prescriptions on re-admissions of elderly patients within 30 days of return to home.Only direct re-admissions to emergency and geriatric short-stay services in participating centres will be counted. | 30 days |
| Measure | Description | Time Frame |
|---|---|---|
| Time between discharge and first readmission | Evaluate the impact of medication management on the time required for the first re-admission to hospital, if it takes place before 30 days. | 30 days |
| Rate of changes in the prescription after hospital discharge by the general practitioner |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Fabien Visade, MD | GHICL | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| GHICL | Lomme | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34742917 | Result | Visade F, Lambeaux D, Delecluse C, Decaudin B, Puisieux F, Floret E, Norberciak L, Lefebvre A. [Implementation of a multi-interventional approach to improve medication safety in older hospitalized patients: Feasibility and impact on 30-day rehospitalization rate]. Ann Pharm Fr. 2022 Jul;80(4):543-553. doi: 10.1016/j.pharma.2021.10.006. Epub 2021 Nov 4. French. |
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| ID | Term |
|---|---|
| D019984 | Quality Indicators, Health Care |
| ID | Term |
|---|---|
| D011787 | Quality of Health Care |
| D006298 | Health Services Administration |
| D017530 | Health Care Quality, Access, and Evaluation |
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Estimate the impact of this process on the preservation of the prescription after hospital discharge by general practitioner within the 30 days following the return home actual number of discrepancies, what may have caused the change and which are the concerned drugs |
| 30 days |
| Identification of Seniors at Risk (ISAR) score | This score is based on 6 yes/no questions. T e total scale range is from 0 to 6. Each item is scored 1 if there is a problem or 0 if there is not, being the maximum score =6. | 30 days |