Clinical Pharmacists in the Emergency Department

May 17, 2018 updated by: Randers Regional Hospital

Is Length of Stay in the Emergency Department Reduced When Clinical Pharmacists Conduct Medication History? - a Cluster Randomized Study

The purpose of this study is to investigate the effect of implementing clinical pharmacists in the Emergency Department Team at Randers Regional Hospital. The clinical pharmacists conduct medication history, make medical interaction screenings, -reconciliations and -reviews on unscheduled patients admitted to the Emergency Department during daytime.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

448

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Denmark
    • Region Midt
      • Randers, Region Midt, Denmark, 8900
        • Randers Regional Hospital

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (ADULT, OLDER_ADULT)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • unscheduled patients admitted to the Emergency Department at Randers Regional Hospital at weekdays during daytime (9 am to 16.15 pm)
  • 4 or more drugs prescribed

Exclusion Criteria:

  • patients triage red
  • patients who cannot give informed consent
  • terminal patients
  • patients admitted to detoxification
  • patients refered to the acute outpatient department
  • patients remaining in the Emergency Department overnight

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: HEALTH_SERVICES_RESEARCH
  • Allocation: RANDOMIZED
  • Interventional Model: PARALLEL
  • Masking: NONE

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
EXPERIMENTAL: Intervention
Clinical pharmacists conduct medication history
Procedure: Clinical pharmacists conduct medication history
pharmacists conduct medication history before the physician interviews the patient and does not spend time on conducting medical history
NO_INTERVENTION: Control
standard procedures for admission is followed

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
Emergency Department Length of stay
Time Frame: From arrival to the Emergency Department to either admission or discharge, which in average will be 6 hours.
From arrival to the Emergency Department to either admission or discharge, which in average will be 6 hours.

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Time from patient arrival to the treatment schedule is ready
Time Frame: From arrival to the Emergency Department to either admission or discharge, which in average will be 6 hours.
From arrival to the Emergency Department to either admission or discharge, which in average will be 6 hours.
Patient safety
Time Frame: From arrival to the Emergency Department to either admission or discharge, which in average will be 6 hours.
Number of recommended changes in drugs or dosage per patient. The changes are rated according to a PCNE-classification for drug-related problems.
From arrival to the Emergency Department to either admission or discharge, which in average will be 6 hours.

Other Outcome Measures

Outcome Measure
Measure Description
Time Frame
The impact of the intervention in the Emergency Department on the existing medication review by clinical pharmacist at the acute ward
Time Frame: 1-3 days after admission to Emergency Department when the secondary medication review takes place
We estimate whether the intervention is time-saving (by recording and comparing time spent for secondary/excisting medication review at the acute ward between patients allocated to the intervention and control group, respectively) and reduce the workload of the clinicians (number and kind of interventions at secondary medication review in the two groups)
1-3 days after admission to Emergency Department when the secondary medication review takes place
The impact of the intervention in the Emergency Department on the dispensing of medicine (done by nurses)
Time Frame: During actual admission to the Emergency Department and the period after inclusion of patients
time used and the possibility of substitutions
During actual admission to the Emergency Department and the period after inclusion of patients

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Randers Regional Hospital

Collaborators

Aarhus University Hospital

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

October 1, 2013

Primary Completion (ACTUAL)

June 1, 2014

Study Completion (ACTUAL)

December 1, 2014

Study Registration Dates

First Submitted

January 7, 2014

First Submitted That Met QC Criteria

August 21, 2014

First Posted (ESTIMATE)

August 22, 2014

Study Record Updates

Last Update Posted (ACTUAL)

May 21, 2018

Last Update Submitted That Met QC Criteria

May 17, 2018

Last Verified

August 1, 2014

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 1-16-02-379-13

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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