Electronic Pharmaceutical Record Used for Medication Reconciliation by a Pharmacist Associated to the Anesthesiologist Consultation

Not Applicable

• Conditions: Electronic Health Records
• Interventions: Other: DP medication reconciliation

• Registration Number: NCT02071472
• Lead Sponsor: University Hospital, Grenoble

Brief Summary

The objective is to evaluate the impact of an electronic pharmaceutical record used for medication reconciliation by a pharmacist associated to the anesthesiologist consultation

Experimental intervention:

medication reconciliation by a pharmacist using an electronic pharmaceutical record before the anesthesiologist consultation for planned surgery patients. The clinical pharmacist communicates the recommendations regarding the drug therapy to the anesthesiologist orally and using a specific formulary.

Control intervention:

Conventional anesthesiologist consultation for planned surgery patients.

Detailed Description

Anesthesiology consultation is mandatory in France for planned surgery. It is part of the concept of anesthesia safety. The main goal is to assess the anesthetic and surgical risk including clinical and drug features likely to interfere with the anesthesia. The medication reconciliation is a central part of this consultation especially in order to assess the allergic risk and hemostasis disorders.

However, access to comprehensive and reliable data concerning the consumption of health products by the patient represents a major challenge. The "Dossier Pharmaceutique" (DP) is an electronic pharmaceutical record including medications (prescribed medications, over the counter medications, complementary and alternative medicines) delivered by community pharmacists over a four month period. Hospital pharmacists have access to the DP of hospitalized patients in order to improve the quality of the medication reconciliation. These informations regarding medication of the patients will be shared with anesthesiologists.

Study Timeline

• Study First Submitted: 2013-11-28
• Study First Submitted QC: 2014-02-21
• Study First Posted: 2014-02-26
• Status Verified: 2014-04
• Study Start: 2014-04
• Last Update Submitted: 2014-04-25
• Last Update Posted: 2014-04-28
• Primary Completion: 2015-10
• Study Completion: 2016-02

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 1076

Inclusion Criteria

• patient coming for anesthetics consultation before a planned surgery
• age above18
• available electronic pharmaceutical record (DP)
• at least one medication prescribed before hospital admission

Exclusion Criteria

• Minor patients ou majors protected by law
• Not speaking French patient
• Person who are not free by law or administrative decision

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
DP medication reconciliation	DP medication reconciliation	medication reconciliation by a pharmacist using an electronic pharmaceutical record associated to the anesthesiologist consultation for planned surgery patients.

Primary Outcome Measures

Name	Time	Method
Number of participants with a potential or documented adverse drug event collected by using trigger tool method	within the first 30 days after surgery

Secondary Outcome Measures

Name	Time	Method
Number of medications reported by the anesthesiologist in the medical record	winthin 2 to 4 weeks between anesthesiogist consultation and surgery

Trial Locations

Locations (1)

Pharmacy Department - University Hospital of Grenoble; 🇫🇷 Grenoble, Isère, France