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OpenTrials
Completed

NCT Number: NCT05241951

Preventing Medication-Related Problems in Care Transitions to Skilled Nursing Facilities

The Pharmacy Integrated Transitions (PIT) program, utilizes a crossover randomized control design to evaluate the impact of a clinical pharmacist in decreasing medication related problems during a patient's transition from hospital to skilled nursing facility (SNF).

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Key information

Conditions

Care Transition

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

University of Washington Health System

Seattle, Washington, 98105, United States

About this study

Standard hospital discharge processes (e.g. as recommended by the Joint Commission Center for Transforming Healthcare), include hospital staff completing a paper-based discharge summary and medication reconciliation form. To reduce the likelihood of medication-related problems during care transitions, the Pharmacy Integrated Transitions (PIT) program aims to improve the standard transition process by adding a coordinating transitional pharmacist to provide a structured synchronous "warm-handoff" between clinical teams at the hospital and the Skilled Nursing Facility, in addition to reconciling, adjusting, and monitoring medications during and after discharge from the hospital.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • 18 years of age and older
  • patients receiving inpatient care at University of Washington Mountlake, University of Washington Northwest, Harborview, and Valley Medical Center hospitals to one of 14 collaborating SNF's on a day when the PIT program pharmacist is conducting the intervention

Exclusion criteria

  • Under 18 years of age
  • patients with a discharge on hospice care
  • patients discharged on days that the pharmacist is not conducting the intervention

Treatment and study plan

Structured hand-off

Other

Use of standardized checklist to provide synchronous or asynchronous handoff that conveys medication recommendations to the SNF clinical teams

Other names: Standardized Checklist

Medication reconciliation during transitional period

Other

Comprehensive medication reconciliation conducted during transitional period between hospital and SNF, focused on SNF-specific requirements for medication delivery (e.g., stop dates, titration instructions)

Transitional medication monitoring

Other

Review of medication orders during first 7 days of SNF admittance to address barriers to translation of medication orders and appropriate medication delivery

Teleconsultation

Other

Ad hoc consultation to provide additional clarification to SNF clinical teams

Primary outcomes

  1. Medication Related Problems

    Time frame: 30 days post hospital discharge

    Number of medication related problems experienced by patients within 30 days post hospital discharge.

Secondary outcomes

  1. Death

    Time frame: 30 Days post hospital discharge

    Number of deaths experienced by patients within each cohort

  2. Readmissions

    Time frame: 30 Days

    Number of readmissions within 30 days of index hospital discharge

Sponsors and collaborators

Lead sponsor

University of Washington

Other

Collaborators

  • Agency for Healthcare Research and Quality (AHRQ)

Registry information

Official study title

Preventing Medication-Related Problems in Care Transitions to Skilled Nursing Facilities Using a Pharmacy Integrated Transitional Team

Important dates

Study start
2022
Primary completion
2024
Study completion
2025
First posted
Feb 16, 2022
Registry last updated
Nov 24, 2025

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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