Correct Medication List at and After Hospital Discharge
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 65
- 试验地点
- 2
- 主要终点
- Correct medication list
研究概览
简要总结
Medication treatment is not always optimal, and care transitions are problematic with errors and clinical consequences. The primary aim of this study is to evaluate the effects of an intervention to reduce errors, in the patient medication list when discharged from hospital to home. It will be secured that patients have the correct medications available for use after discharge and, that the information about current medications is correct in the Electronic Health Register and the pharmacy dispensing system. 100 patients 60 years and older, handling their own medications, and prescribed at least five continuous medications, Swedish or Arabic speaking, will be recruited from a hospital in Malmö before discharge. Discrepancies between the accurate medication list and patients' actual use will be followed up three weeks after discharge.
详细描述
Background
LIMM-studies interventions decreased error rates in the discharge medication lists from 66 to 32% and the risk for clinical negative consequences from 32 to 16%. Patients who manage their own medication and patients with different cultural background have not been studied in the LIMM-model. In a pilot study using the same methods as in this planned RCT 22 problems were identified among 7 patients in the medication list at discharge. All problems were solved and no remained at follow-up 2 weeks later.
Aim The aim of this study is to evaluate the effects of an intervention to reduce errors in the patient medication list when discharged from hospital to home. A further aim is to compare the effects of the intervention in two different patient populations, Swedish- and Arabic speaking, and the potential clinical and economic consequences of the errors.
Methods
Study design
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Outcomes Assessor)
盲法说明
PhD student prepare evaluation form for each patient including patient characteristics and important disease states, medication lists during the study period, hospital and primary care contacts including reason for contact and medical notes. Errors, risks, and clinical consequences based on an error is evaluated first individually then in consensus by two blinded senior clinicians.
入排标准
- 年龄范围
- 60 Years 至 120 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Planed for hospital discharge
- •Handling their own medications at home
- •At least five continuous medications
- •Swedish or Arabic speaking
排除标准
- •Unable to communicate their medication use
结局指标
主要结局
Correct medication list
时间窗: 3 weeks after dischararge
Number of patients with a correct medication list at home 3 weeks after hospital discharge. Comparison between intervention and control patients assessed by pairs of blinded expert evaluators
Clinical consequences associated with errors
时间窗: 3 months after hospital discharge
Patients with at least one error classified as moderate or high risk will be evaluated by paire of senior clicians. All contacts that these patients have with primary care or hospital care within 3 months after discharge will be documented and evaluated. A regional patient register (RSVD) will be used to investigate each contact.
次要结局
未报告次要终点
研究者
Tommy Eriksson
Professor
Malmö University