The Impact Of Clinical Pharmacists Medication Reconciliation Upon Patients Admission To Reduce Medication Discrepancies.

Medication Reconcilitation Upon Hospital Admission Clinical Trial

Official title:

A Comparative Prospective Interventional Study Shows The Impact Of The Clinical Pharmacists' Role In The Emergency Department In Medication Reconciliation Upon Patients' Admission To Reduce The Medication Discrepancies.

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04395443
• Other study ID #: 0304494
• Status: Completed
• Phase: N/A
• Start date: September 25, 2020
• Est. completion date: November 30, 2020

Study information

• Verified date: December 2020
• Source: Alexandria University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

It is a quazai one arm study shows the impact of the role of the clinical pharmacists through medication reconciliation to patients admitted to the emergency department .The main aim is to show if the pharmacists intervention is associated with establishing a complete drug history list than the list already presented in the patient file and taken by the physician .Then a description of the medication errors detected will be done .

Description:

It is a quazai one arm study in which the pre phase is the detection of the complete and accurate drug history list already presented in the patient file and taken by the physician and the post phase is the detection of the complete and accurate drug history list taken by the clinical pharmacists after medication reconciliation for the same patients.

medication reconciliation will be done as a full diseases and preadmission medications history will be taken from the patients or the family through interviews, revising previous prescriptions and hospital records.

• Preadmission medication history will include medications trade names, doses, frequency and route of administration and treatment duration and also will include the consumption of vitamins or herbs.

• The medication errors will be detected ,calculated and classified according to medication at transitions and clinical handoffs (MATCH) toolkit for medication reconciliation and NCC MERP index.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 161
• Est. completion date: November 30, 2020
• Est. primary completion date: November 30, 2020
• Accepts healthy volunteers: No
• Gender: All
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• Patients with one or more chronic disease / drug.

Exclusion Criteria:

• Patients who cannot communicate or have no family members.

Related Conditions & MeSH terms

• Medication Reconcilitation Upon Hospital Admission

Intervention

Other:
• medication reconciliation
the emergency clinical pharmacists will start medication reconciliation with the admitted patients and a full diseases and preadmission medications history will be taken.A comparison between the accuracy and completeness of drug history lists already presented in the profile and drug history taken by the clinical pharmacists to detect the medication discrepancies

Locations

Country	Name	City	State
Egypt	Alexandria Main University Hospital	Alexandria

Sponsors (1)

Lead Sponsor	Collaborator
Alexandria University

Country where clinical trial is conducted

Egypt, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	the total number of complete and accurate drug history list detected in each phase.	to calculate the total number of complete and accurate drug history list taken by the physicians and already presented in the profile (pre phase) and the total number of complete and accurate drug history list taken by the clinical pharmacists after medication reconciliation (post phase).	2 months
Primary	Detect the number of medication discrepancies and the proportion of the prescriptions with one or more medication discrepancies	Calculate the total number of medication discrepancies detected after medication reconciliation and then calculate and the proportion of the prescriptions with one or more medication discrepancies from the total number of prescriptions.; 2- to classify the medication discrepancies using Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation.; 2- to classify the medication discrepancies using Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation.; 2- to classify the medication discrepancies using Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation.; to classify the medication discrepancies using Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation and NCC MERP index	2 months
Primary	classification of medication discrepancies	to classify the medication discrepancies according to MATCH toolkit for medication reconciliation and NCC MERP index.; 3- to calculate the proportion of the patients detected with one or more medication discrepancies; 3- to calculate the proportion of the patients detected with one or more medication discrepancies; 3- to calculate the proportion of the patients detected with one or more medication discrepancies to calculate the proportion of the patients detected with one or more medication discrepancies	2 months
Primary	the total number of complete medication history lists will be written in the patients profiles	to calculate the total number of complete medication history lists will be written in the patients profiles by the clinical pharmacists after their interventions..	2 months