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Completed

NCT Number: NCT01164137

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

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.

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Key information

Conditions

Adverse Drug Events Chemically-Induced Disorders Drug-Related Side Effects and Adverse Reactions

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

WestView Health Centre

Stony Plain, Alberta, T7Z 2M7, Canada

About this study

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.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

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)

Treatment and study plan

Medication Reconciliation

Behavioral

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

Primary outcomes

  1. Health Services Utilization 3 Months Following Hospital Discharge

    Time frame: 3 Months

    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.

  2. Health Services Utilization 6 Months Following Hospital Discharge

    Time frame: 6 Months

    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.

  3. Health Services Utilization 9 Months Following Hospital Discharge

    Time frame: 9 Months

    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.

  4. Health Services Utilization 12 Months Following Hospital Discharge

    Time frame: 12 months

    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.

  5. Health Services Utilization 18 Months Following Hospital Discharge

    Time frame: 18 months

    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.

Sponsors and collaborators

Lead sponsor

Westview Physician Collaborative

Other

Registry information

Official study title

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

Acronym: CMR

Important dates

Study start
2008
Primary completion
2013
Study completion
2013
First posted
Jul 16, 2010
Registry last updated
Feb 15, 2013

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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