A Comparative Prospective Interventional Study Shows The Impact Of The Clinical Pharmacists' Role In The Emergency Department In Medication Reconciliation Upon Patients' Admission To Reduce The Medication Discrepancies.
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Medication Reconcilitation Upon Hospital Admission
- Sponsor
- Alexandria University
- Enrollment
- 161
- Locations
- 1
- Primary Endpoint
- the total number of complete and accurate drug history list detected in each phase.
- Status
- Completed
- Last Updated
- 3 years ago
Overview
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.
Investigators
Heba Shaker
Supervisor of clinical pharmacy units in Alexandria Main University Hospital
Alexandria University
Eligibility Criteria
Inclusion Criteria
- •Patients with one or more chronic disease / drug.
Exclusion Criteria
- •Patients who cannot communicate or have no family members.
Outcomes
Primary Outcomes
the total number of complete and accurate drug history list detected in each phase.
Time Frame: 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
Time Frame: 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
Time Frame: 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
Time Frame: 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..