The effect of the Collaborative Optimisation and Ordering of Medications (COOM) on prescribing safety in hospitalised patients

Not Applicable

• Conditions: Prescribing Error; Medication Harm; Public Health - Health service research

• Registration Number: ACTRN12621001724864
• Lead Sponsor: Metro South Health

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2021-12-16
• Last Update Posted: 9 January 2023

Recruitment & Eligibility

• Status: ot yet recruiting
• Sex: All
• Target Recruitment: 124

Inclusion Criteria

All adult admission to the General Medicine team allocated the intervention team will automatically be treated using the COOM model (intervention), while patients in the other General Medicine Teams not receiving the COOM model will be treated with the standard pharmacy model and allocated as controls.

Exclusion Criteria

Patients will be excluded if they are <18 years of age, have length of in-patient stay <24 hours, are admitted to the Medical Assessment and Planning Unit, or do not receive a pharmacist best possible medication history during admission. They will not be included in the primary outcome analysis if they were not under the designated medical team during their first 24 hours of hospital admission.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
The primary outcome is patients with one or more prescribing errors at 24 hours from admission to hospital. Prescribing errors will be assessed by an independent research pharmacist through comparison of the Pharmacist Admission History Note (i.e. the best possible medication history) to what was prescribed within the first 24 hours of admission. The independent research pharmacist will utilise their clinical knowledge, guidelines and other resources available to a clinical pharmacist to evaluate the appropriateness of prescribing within this time period. The independent research pharmacist will have retrospective access to all relevant electronic clinical documentation for each patient (i.e., progress notes, observations, laboratory test results and medication charts).[At 24 hours from admission to hospital]