Eliminating Risk of Preventable Adverse Drug Events at the Hospital-community Interface of Care (CMR)
Eliminating Risk of Preventable Adverse Drug Events at the Hospital-community Interface of Care: to Develop and Test a Community-based Medication Reconciliation Program and a Risk Prediction Model That Identifies High-risk Patient Groups
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
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:
- Develop and test a community-based medication reconciliation process/intervention.
- Design and conduct a randomized controlled trial to examine the impact of the intervention on post-discharge health services utilization by comparing a set of outcome variables between intervention and non-intervention groups.
- Design a risk prediction model that helps identify patients discharged from in-patient care with the highest level of need for the intervention.
- Determine whether a community-based medication reconciliation process/intervention adds risk reduction value to individuals who have undergone an in-hospital medication reconciliation.
Undersøgelsestype
Undersøgelsestype
Tilmelding (Faktiske)
Tilmelding
Fase
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiesteder
-
-
Alberta
-
Stony Plain, Alberta, Canada, T7Z 2M7
- Westview Health Centre
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Patients attending the WestView Health Centre Medicine/Family Health Unit with at least one medication at discharge.
Exclusion Criteria:
- First Nations persons
- Residents of continuing care or assisted living facilities
- Persons not residing in the Edmonton, AB, Canada region
- Persons who obtain a score of 19 or less on the Mini Mental State Examination (MMSE)
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Sundhedstjenesteforskning
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Eksperimentel: Medication Reconciliation Intervention
Participants receiving a pharmacist-led home intervention conducted within 72 hours of hospital discharge aimed at identifying and correcting medication discrepancies.
|
A pharmacist-led home intervention conducted within 72 hours of hospital discharge aimed at correcting and identifying medication discrepancies.
|
|
Ingen indgriben: Medication Reconciliation Non-Interven.
Participants not receiving a pharmacist-led home intervention conducted within 72 hours of hospital discharge aimed at identifying and correcting medication discrepancies.
|
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Health Services Utilization 3 Months Following Hospital Discharge
Tidsramme: 3 Months
|
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
Tidsramme: 6 Months
|
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
Tidsramme: 9 Months
|
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
Tidsramme: 12 months
|
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
Tidsramme: 18 months
|
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
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Efterforskere
Efterforskere
- Ledende efterforsker: Allan Bailey, M.D., Westview Physician Collaborative
- Studieleder: Grace Moe, M.Sc.P.T., WestView Primary Care Network
Datoer for undersøgelser
Studer store datoer
Studiestart
Studiestart
Primær færdiggørelse (Faktiske)
Primær færdiggørelse
Studieafslutning (Faktiske)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- CMPA#2026
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