Preventing Medication-Related Problems in Care Transitions to Skilled Nursing Facilities Using a Pharmacy Integrated Transitional Team
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 1,052
- 试验地点
- 2
- 主要终点
- Medication Related Problems
研究概览
简要总结
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).
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 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
- 否
入选标准
- •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
排除标准
- •Under 18 years of age
- •patients with a discharge on hospice care
- •patients discharged on days that the pharmacist is not conducting the intervention
结局指标
主要结局
Medication Related Problems
时间窗: 30 days post hospital discharge
Number of medication related problems experienced by patients within 30 days post hospital discharge.
次要结局
- Readmissions(30 Days)
- Death(30 Days post hospital discharge)
研究者
Giana Davidson
Associate Professor, School of Medicine: Surgery
University of Washington