The Impact Of Clinical Pharmacists Medication Reconciliation Upon Patients Admission To Reduce Medication Discrepancies.

Not Applicable

Completed

• Conditions: Medication Reconcilitation Upon Hospital Admission
• Interventions: Other: medication reconciliation

• Registration Number: NCT04395443
• Lead Sponsor: Alexandria University

Brief Summary

It is a quazai one arm study shows the impact of the role of the clinical pharmacists through medication reconciliation to patients admitted to the emergency department .The main aim is to show if the pharmacists intervention is associated with establishing a complete drug history list than the list already presented in the patient file and taken by the physician .Then a description of the medication errors detected will be done .

Detailed Description

It is a quazai one arm study in which the pre phase is the detection of the complete and accurate drug history list already presented in the patient file and taken by the physician and the post phase is the detection of the complete and accurate drug history list taken by the clinical pharmacists after medication reconciliation for the same patients.

medication reconciliation will be done as a full diseases and preadmission medications history will be taken from the patients or the family through interviews, revising previous prescriptions and hospital records.

* Preadmission medication history will include medications trade names, doses, frequency and route of administration and treatment duration and also will include the consumption of vitamins or herbs.

* The medication errors will be detected ,calculated and classified according to medication at transitions and clinical handoffs (MATCH) toolkit for medication reconciliation and NCC MERP index.

Study Timeline

• Study First Submitted: 2020-05-16
• Study First Submitted QC: 2020-05-16
• Study First Posted: 2020-05-20
• Study Start: 2020-09-25
• Primary Completion: 2020-11-30
• Study Completion: 2020-11-30
• Status Verified: 2020-12
• Last Update Submitted: 2022-10-09
• Last Update Posted: 2022-10-13

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 161

Inclusion Criteria

• Patients with one or more chronic disease / drug.

Exclusion Criteria

• Patients who cannot communicate or have no family members.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
patients admitted to emergency department	medication reconciliation	the intervention is the medication reconciliation

Primary Outcome Measures

Name	Time	Method
the total number of complete and accurate drug history list detected in each phase.	2 months	to calculate the total number of complete and accurate drug history list taken by the physicians and already presented in the profile (pre phase) and the total number of complete and accurate drug history list taken by the clinical pharmacists after medication reconciliation (post phase).
Detect the number of medication discrepancies and the proportion of the prescriptions with one or more medication discrepancies	2 months	Calculate the total number of medication discrepancies detected after medication reconciliation and then calculate and the proportion of the prescriptions with one or more medication discrepancies from the total number of prescriptions.; 2- to classify the medication discrepancies using Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation.; 2- to classify the medication discrepancies using Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation.; 2- to classify the medication discrepancies using Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation.; to classify the medication discrepancies using Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation and NCC MERP index
classification of medication discrepancies	2 months	to classify the medication discrepancies according to MATCH toolkit for medication reconciliation and NCC MERP index.; 3- to calculate the proportion of the patients detected with one or more medication discrepancies; 3- to calculate the proportion of the patients detected with one or more medication discrepancies; 3- to calculate the proportion of the patients detected with one or more medication discrepancies to calculate the proportion of the patients detected with one or more medication discrepancies
the total number of complete medication history lists will be written in the patients profiles	2 months	to calculate the total number of complete medication history lists will be written in the patients profiles by the clinical pharmacists after their interventions..

Trial Locations

Locations (1)

Alexandria Main University Hospital; 🇪🇬 Alexandria, Egypt