Medicines Reconciliation at an Intensive Care Unit
- Conditions
- Medicines ReconciliationIntensive Care Unit
- Interventions
- Other: Medication reconciliation at the ICUOther: Medication Reconciliation at the Ward
- Registration Number
- NCT03173690
- Lead Sponsor
- University Hospital, Akershus
- Brief Summary
This study evaluates the effect of performing medicines reconciliation on patients admitted to an intensive care unit. Half of the patients will receive a medicines reconciliation at the intensive care unit. The other half will not. All included patients will receive medicines reconciliation after transfer to the ward.
- Detailed Description
Transfer of patients from one level of care to another is known to increase the risk of medication errors. Medication reconciliation is an accepted intervention to increase the knowledge on the patients medication use, thus reducing the risk of avoidable medication errors. For patients in the intensive care unit treatment of the imminent threat is obviously the most important. Nevertheless, knowledge about previous medications are important.
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 50
- belonging to the hospitals intake area
- written informed concent by the patient or his/her next to kin
- Patients without next to kin
- Not Norwegian speaking, in need of a translator
- medication reconciliation performed earlier
- Patients with Guillain-Barre or Myasthenia Gravis, due to long expectancy of stay
- Short life expectancy, decided in cooperation with the physician
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Intervention group Medication reconciliation at the ICU Receive medication reconciliation at the ICU, pluss medication reconciliation at the ward Control group Medication Reconciliation at the Ward No intervention at the ICU, medication reconciliation at the ward Intervention group Medication Reconciliation at the Ward Receive medication reconciliation at the ICU, pluss medication reconciliation at the ward
- Primary Outcome Measures
Name Time Method Number of patients with at least one discrepancy between medications listed on hospital chart and medications used at home before hospital admittance Medicines reconciliation is performed at randomisation and within 48 hours after transmission to the ward, assessed up to 28 days after randomisation Medications listed on the medication chart were recorded on a predefined form, this included information on dosage form, strength, dosage and administration time for each drug. The pharmacist performed medicines reconciliation either by interviewing the patient or by gathering information from other sources as the patient's general practitioner, next-to-kin or if relevant nursing home. Any deviations between the information from the medication chart and information obtained during medicines reconciliation was defined as a discrepancy.
- Secondary Outcome Measures
Name Time Method Retrospective evaluation on the clinical relevance of the observed medical discrepancies Retrospectively, based on the information gathered from the day of randomisation up until 28 days after randomisation One clinical pharmacist and one senior geriatrician retrospectively asses the potential clinical relevance of the registered discrepancies. The expert panel use the following information for each patient when assessing the clinical relevance: medication list before and after reconciliation, age, gender, reason for hospitalisation, former and current diseases and the level of care before admission
Trial Locations
- Locations (1)
Akershus university Hospital
🇳🇴Lørenskog, Akershus, Norway