Implementation of Clinical Pharmacist-led Inpatient Anticoagulation Stewardship Program in An Egyptian Tertiary Care Hospital
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 233
- 试验地点
- 1
- 主要终点
- Percent of medication errors change
研究概览
简要总结
This study aims at evaluating the implementation of clinical-pharmacist-led anticoagulation stewardship program in Egyptian tertiary hospital to promote a culture of safety around anticoagulants.
详细描述
One of the high-alert medication categories that may cause significant patient harm if not used correctly is anticoagulants. It is not clear if medication errors are more common with this category in specific compared to other medication categories, but the ramifications of a medication error with the use of anticoagulation agents is without a doubt detrimental to the patient's health and more serious than most of other drug categories.
This prospective study evaluates the impact of implementing an anticoagulation stewardship program, led by clinical pharmacists, on anticoagulation therapy outcomes during patient hospitalization by the percent of medication errors reduction, percent of adverse drug events reduction, and percent of evidence-based guidelines compliance improvement.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Sequential
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •All hospitalized patients on therapeutic anticoagulant medication during their hospitalization period.
排除标准
- •Patients whose age is less than 18 years old.
- •Patients who were admitted for less than 24 hours for patient on parenteral anticoagulants and less than 48 hours for patient on warfarin.
- •Patients already admitted for bleeding or thrombosis.
- •Malignancy patients.
研究组 & 干预措施
Pre program implementation
All hospitalized patients on therapeutic anticoagulant medication during the pre-implementation period of the anticoagulation stewardship program.
Post program implementation
All hospitalized patients on therapeutic anticoagulant medication during the post-implementation period of the anticoagulation stewardship program.
干预措施: Anticoagulation Stewardship Program (Other)
结局指标
主要结局
Percent of medication errors change
时间窗: one year and half
Detect the medication error according to (National Coordinating Council for Medication Errors Reporting and Prevention NCC MERP) Index for Categorizing Medication Errors using NCC MERP Index for Categorizing Medication Errors Algorithm.
percent of adverse drug events change
时间窗: one year and half
Detect bleeding and thrombotic-related adverse drug events
Percent of evidence-based guidelines compliance improvement
时间窗: one year and half
Detect health care providers' adherence to evidence-based guidelines for anticoagulation therapy.
次要结局
未报告次要终点
研究者
Heba Mohamed El-Bosily
Clinical Pharmacist
Ain Shams University