Eliminating Risk of Preventable Adverse Drug Events at the Hospital-community Interface of Care

Westview Physician Collaborative156 enrolled

Overview

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.

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: 1. Develop and test a community-based medication reconciliation process/intervention. 2. 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. 3. Design a risk prediction model that helps identify patients discharged from in-patient care with the highest level of need for the intervention. 4. Determine whether a community-based medication reconciliation process/intervention adds risk reduction value to individuals who have undergone an in-hospital medication reconciliation.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Enrollment

156

Conditions

Adverse Drug Events

Interventions

Medication ReconciliationBEHAVIORAL

A pharmacist-led home intervention conducted within 72 hours of hospital discharge aimed at correcting and identifying medication discrepancies.

Eligibility

Sex: ALLMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

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)

Locations (1)

WestView Health Centre

Stony Plain, Alberta, Canada

Outcomes

Primary Outcomes

Health Services Utilization 3 Months Following Hospital Discharge

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.

Time frame: 3 Months

Health Services Utilization 6 Months Following Hospital Discharge

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.

Time frame: 6 Months

Health Services Utilization 9 Months Following Hospital Discharge

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.

Time frame: 9 Months

Health Services Utilization 12 Months Following Hospital Discharge

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.

Time frame: 12 months

Health Services Utilization 18 Months Following Hospital Discharge

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.

Time frame: 18 months

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.