Evaluation of Pharmacist-Initiated Discharge Medication Reconciliation and Patient Counseling Procedures in the Emergency Department
- Conditions
- Medication reconciliation upon discharge from the emergency department
- Registration Number
- LBCTR2023095432
- Lead Sponsor
- one
- Brief Summary
Among 81 patients, 42 (52%) patients were randomly assigned to the intervention group, and 39 (48%) patients to the control group. At day 30, The mean number of medication discrepancies was significantly lower in the intervention group (p = .000). 63.6% of patients in the control group had at least one medication discrepancy identified. The most common type of discrepancy was drug commission and drug omission; they mostly occurred in the control group and this difference was statistically significant. 10 patients from the control group reported concerns on day 30, as compared to none from the intervention group (p = 0.003). Overall, patients from the intervention group had a better understanding of their medications that was statistically significant.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Complete
- Sex
- All
- Target Recruitment
- 100
Participants were eligible if they met the following inclusion criteria: adult patients (=18 years old) who were discharged from the ED with at least one newly prescribed discharge medication.
Key exclusion criteria consisted of patients who were admitted from ED to LAUMCRH as inpatients, transferred to another hospital, or did not provide consent to participate in the study.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method ame: the number of unintended medication discrepancies identified by the pharmacy resident categorized as: omission, commission, different dose/route/frequency, or different medication ordered. ;Timepoints: at day 30 post discharge;Measure: the number of unintended medication discrepancies identified by the pharmacy resident categorized as: omission, commission, different dose/route/frequency, or different medication ordered as analyzed by the pharmacy resident.
- Secondary Outcome Measures
Name Time Method ame: the composite endpoint of hospital readmission, ED visits, and physician contact;Timepoints: at 30 days post-discharge;Measure: Number of hospital readmission, ED visits, and physician contact as reported by the patient