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Among the strategies to secure the patient's care path, medication reconciliation is a powerful approach for the prevention and interception of medication errors.
All medication errors are not serious. Nevertheless 4 studies show that respectively 5.6%, 5.7%, 6.3% and 11.7% of the medication errors intercepted by medication reconciliation (MR) could have had major, critical or catastrophic consequences for patients. If the consequences of a medication error have a clinical or institutional translation for the patient, they can also directly impact the hospital or caregivers, for example by extending the average length of stay or by increasing the number of consultations or readmissions.
The efficiency of the medication reconciliation approach has never been evaluated in France in comparison with standard care. Before initiating cost-effectiveness studies, we propose to conduct a micro-costing study to evaluate the production costs of this conciliation approach.
The costs are almost exclusively related to human resources and the present study will assess the time spent by the different actors involved in the process.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients admitted in the Polyvalent Internal Medical Unit | Patients over 65 years old admitted in the Polyvalent Internal Medical Unit (UMIP) of Rennes University Hospital between 09/04/2017 and 10/31/2017 or going back home or to a rehabilitation service during the same period. Cost analysis of medication reconciliation. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Cost analysis of medication reconciliation | Other |
|
| Measure | Description | Time Frame |
|---|---|---|
| Time spent by professionals | Evaluation of the time spent by each professionals involved in the completion of each step of the MR process. | At the inclusion day |
| Average cost of MR process | Evaluation of average cost of MR process at UMIP. Only costs related to human resources are considered. | At the inclusion day |
| Number of unintentional discrepancies detected | Number of unintentional discrepancies detected during MR at admission of patients at UMIP. | At the inclusion day |
| Severity of unintentional discrepancies detected | Severity of unintentional discrepancies detected during MR at admission of patients at UMIP. Evaluation based on the algorithm provided by the HAS. | At the inclusion day |
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Inclusion Criteria:
Patients over 65 years old
Patient non-institutionalized at entry
For MR :
Exclusion Criteria:
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Patients over 65 years admitted at the UMIP of Rennes University Hospital between 09/04/2017 and 10/31/2017.
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| Name | Affiliation | Role |
|---|---|---|
| Berengere CADOR, MD | Rennes University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Rennes University Hospital | Rennes | 35000 | France |
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