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It is a quazai one arm study shows the impact of the role of the clinical pharmacists through medication reconciliation to patients admitted to the emergency department .The main aim is to show if the pharmacists intervention is associated with establishing a complete drug history list than the list already presented in the patient file and taken by the physician .Then a description of the medication errors detected will be done .
It is a quazai one arm study in which the pre phase is the detection of the complete and accurate drug history list already presented in the patient file and taken by the physician and the post phase is the detection of the complete and accurate drug history list taken by the clinical pharmacists after medication reconciliation for the same patients.
medication reconciliation will be done as a full diseases and preadmission medications history will be taken from the patients or the family through interviews, revising previous prescriptions and hospital records.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| patients admitted to emergency department | Experimental | the intervention is the medication reconciliation |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| medication reconciliation | Other | the emergency clinical pharmacists will start medication reconciliation with the admitted patients and a full diseases and preadmission medications history will be taken.A comparison between the accuracy and completeness of drug history lists already presented in the profile and drug history taken by the clinical pharmacists to detect the medication discrepancies |
| Measure | Description | Time Frame |
|---|---|---|
| the total number of complete and accurate drug history list detected in each phase. | to calculate the total number of complete and accurate drug history list taken by the physicians and already presented in the profile (pre phase) and the total number of complete and accurate drug history list taken by the clinical pharmacists after medication reconciliation (post phase). | 2 months |
| Detect the number of medication discrepancies and the proportion of the prescriptions with one or more medication discrepancies | Calculate the total number of medication discrepancies detected after medication reconciliation and then calculate and the proportion of the prescriptions with one or more medication discrepancies from the total number of prescriptions. 2- to classify the medication discrepancies using Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation. 2- to classify the medication discrepancies using Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation. 2- to classify the medication discrepancies using Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation. to classify the medication discrepancies using Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation and NCC MERP index | 2 months |
| classification of medication discrepancies | to classify the medication discrepancies according to MATCH toolkit for medication reconciliation and NCC MERP index. 3- to calculate the proportion of the patients detected with one or more medication discrepancies 3- to calculate the proportion of the patients detected with one or more medication discrepancies 3- to calculate the proportion of the patients detected with one or more medication discrepancies to calculate the proportion of the patients detected with one or more medication discrepancies | 2 months |
| the total number of complete medication history lists will be written in the patients profiles |
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Inclusion Criteria:
Exclusion Criteria:
- Patients who cannot communicate or have no family members.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Alexandria Main University Hospital | Alexandria | Egypt |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38102544 | Derived | Shaker HO, Sabry AAF, Salah A, Ragab GM, Sedik NA, Ali Z, Magdy D, Alkafafy AM. The impact of clinical pharmacists' medication reconciliation upon patients' admission to reduce medication discrepancies in the emergency department: a prospective quasi-interventional study. Int J Emerg Med. 2023 Dec 15;16(1):89. doi: 10.1186/s12245-023-00568-z. |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Dec 19, 2019 | May 16, 2020 | Prot_000.pdf |
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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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|
to calculate the total number of complete medication history lists will be written in the patients profiles by the clinical pharmacists after their interventions..
| 2 months |
| 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 |