The purpose of this study is to determine wether an extensive medication safety check has a greater impact on the incidence of adverse drug events than medication reconciliation or no intervention.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
220
Pharmacist take the best possible medication history (BPMH), comparison of the BPMH with the admission order (AMO), clarify and solve al discrepancies between the BPMH and the AMO.
Checking medication under safety considerations (medication at admission, during hospital stay, at discharge); recommendations for inappropriate medication (e.g. contraindications or interactions) or medication related problems. Pharmaceutical care includes Medication Reconciliation.
University Hospital Aachen
Aachen, Germany
incidence of adverse drug events
Time frame: 1 year
Assessment of the clinical relevance of medication related problems as determined by the French Society of Clinical Pharmacy
Severity scale for medication related problems: minor, significative, major, critical, catastrophic
Time frame: 1 year
Assessment of the clinical relevance of discrepancies as determined by the French Society of Clinical Pharmacy
Severity scale for discrepancies: minor, significative, major, critical, catastrophic
Time frame: 1 year
number of medication related problems
Time frame: 1 year
number of discrepancies
Time frame: 1 year
duration of taking the best possible medication history
The duration is measured in minutes.
Time frame: 1 year
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