Evaluation of the Impact of an Electronic Pharmaceutical Record Used for Medication Reconciliation by a Pharmacist Associated to the Anesthesiologist Consultation
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 1,076
- 试验地点
- 2
- 主要终点
- Number of participants with a potential or documented adverse drug event collected by using trigger tool method
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •patient coming for anesthetics consultation before a planned surgery
- •age above18
- •available electronic pharmaceutical record (DP)
- •at least one medication prescribed before hospital admission
排除标准
- •Minor patients ou majors protected by law
- •Not speaking French patient
- •Person who are not free by law or administrative decision
结局指标
主要结局
Number of participants with a potential or documented adverse drug event collected by using trigger tool method
时间窗: within the first 30 days after surgery
次要结局
- Number of medications reported by the anesthesiologist in the medical record(winthin 2 to 4 weeks between anesthesiogist consultation and surgery)
