Medication Reconciliation for Patients Over 65 Years Old : Cost Analysis of the Process Implemented in the Polyvalent Internal Medical Unit of Rennes University Hospital
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 100
- 试验地点
- 1
- 主要终点
- Time spent by professionals
研究概览
简要总结
Among the strategies to secure the patient's care path, medication reconciliation is a powerful approach for the prevention and interception of medication errors.
详细描述
All medication errors are not serious. Nevertheless 4 studies show that respectively 5.6%, 5.7%, 6.3% and 11.7% of the medication errors intercepted by medication reconciliation (MR) could have had major, critical or catastrophic consequences for patients. If the consequences of a medication error have a clinical or institutional translation for the patient, they can also directly impact the hospital or caregivers, for example by extending the average length of stay or by increasing the number of consultations or readmissions.
The efficiency of the medication reconciliation approach has never been evaluated in France in comparison with standard care. Before initiating cost-effectiveness studies, we propose to conduct a micro-costing study to evaluate the production costs of this conciliation approach.
The costs are almost exclusively related to human resources and the present study will assess the time spent by the different actors involved in the process.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients over 65 years old
- •Patient non-institutionalized at entry
- •Entry : patients admitted at UMIP between 09/04/2017 and 10/31/2017
- •Discharge : patients returning home or going to a rehabilitation service between 04/09/2017 and 31/10/2017 and having received MR evaluation
排除标准
- •Patients not returning home
- •Refusal of participation
- •Major persons subject to legal protection (safeguard of justice, guardianship), persons deprived of their liberty
结局指标
主要结局
Time spent by professionals
时间窗: At the inclusion day
Evaluation of the time spent by each professionals involved in the completion of each step of the MR process.
Number of unintentional discrepancies detected
时间窗: At the inclusion day
Number of unintentional discrepancies detected during MR at admission of patients at UMIP.
Severity of unintentional discrepancies detected
时间窗: At the inclusion day
Severity of unintentional discrepancies detected during MR at admission of patients at UMIP. Evaluation based on the algorithm provided by the HAS.
Average cost of MR process
时间窗: At the inclusion day
Evaluation of average cost of MR process at UMIP. Only costs related to human resources are considered.
次要结局
未报告次要终点