Eliminating Risk of Preventable Adverse Drug Events at the Hospital-community Interface of Care (CMR)
2013年2月12日 更新者：Westview Physician Collaborative
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
This initiative aims to decrease the risk of medication errors at the hospital-community interface as well as health system utilization following hospital discharge by implementing a pharmacist-led medication reconciliation in the patients' home within 72 hours of hospital discharge.
研究概览
详细说明
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.
研究类型
介入性
注册 (实际的)
156
阶段
- 不适用
联系人和位置
本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。
学习地点
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Alberta
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Stony Plain、Alberta、加拿大、T7Z 2M7
- Westview Health Centre
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参与标准
研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
18年 及以上 (成人、年长者)
接受健康志愿者
是的
有资格学习的性别
全部
描述
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)
学习计划
本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。
研究是如何设计的？
设计细节
- 主要用途：卫生服务研究
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：无（打开标签）
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
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实验性的：Medication Reconciliation Intervention
Participants receiving a pharmacist-led home intervention conducted within 72 hours of hospital discharge aimed at identifying and correcting medication discrepancies.
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A pharmacist-led home intervention conducted within 72 hours of hospital discharge aimed at correcting and identifying medication discrepancies.
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无干预：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.
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研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Health Services Utilization 3 Months Following Hospital Discharge
大体时间：3 Months
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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.
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3 Months
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Health Services Utilization 6 Months Following Hospital Discharge
大体时间：6 Months
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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.
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6 Months
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Health Services Utilization 9 Months Following Hospital Discharge
大体时间：9 Months
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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.
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9 Months
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Health Services Utilization 12 Months Following Hospital Discharge
大体时间：12 months
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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.
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12 months
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Health Services Utilization 18 Months Following Hospital Discharge
大体时间：18 months
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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.
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18 months
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合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
调查人员
- 首席研究员：Allan Bailey, M.D.、Westview Physician Collaborative
- 研究主任：Grace Moe, M.Sc.P.T.、WestView Primary Care Network
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始
2008年11月1日
初级完成 (实际的)
2013年2月1日
研究完成 (实际的)
2013年2月1日
研究注册日期
首次提交
2010年7月14日
首先提交符合 QC 标准的
2010年7月15日
首次发布 (估计)
2010年7月16日
研究记录更新
最后更新发布 (估计)
2013年2月15日
上次提交的符合 QC 标准的更新
2013年2月12日
最后验证
2013年2月1日
更多信息
与本研究相关的术语
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.
Medication Reconciliation的临床试验
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HIV Prevention Trials NetworkNational Institute on Drug Abuse (NIDA); National Institute of Allergy and Infectious Diseases...完全的