Adverse Drug Events Clinical Trial
Official title:
Multi-Center Medication Reconciliation Quality Improvement Study
Patients often have problems after they leave the hospital, in part because errors are made in the medications they are prescribed. The goal of this project is to develop a more accurate and safe medication prescription process when patients enter and leave the hospital and implement this process at six U.S. hospitals. The investigators will measure the success of the project and develop lessons learned so this process can be applied to other hospitals.
Unintentional medication discrepancies during transitions in care (such as hospitalization
and subsequent discharge) are very common and represent a major threat to patient safety.
One solution to this problem is medication reconciliation. In response to Joint Commission
requirements, most hospitals have developed medication reconciliation processes, but some
have been more successful than others, and there are reports of pro-forma compliance without
substantial improvements in patient safety. There is now collective experience about
effective approaches to medication reconciliation, but these have yet to be consolidated,
evaluated rigorously, and disseminated effectively.
This project's findings should provide valuable lessons to all hospitals regarding the best
ways to design and implement medication reconciliation interventions to improve medication
safety during transitions in care.
SPECIFIC AIMS:
Aim 1: Develop a toolkit consolidating the best practice recommendations for medication
reconciliation
Aim 2: Conduct a multi-center mentored quality improvement project in which each site adapts
the tools for its own environment and implements them
Aim 3: Assess the effects of a mentored medication reconciliation quality improvement
intervention on unintentional medication discrepancies with potential for patient harm
Aim 4: Conduct rigorous program evaluation to determine the most important components of a
medication reconciliation program and how best to implement it
;
Allocation: Non-Randomized, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Health Services Research
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