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临床试验/NCT03338725
NCT03338725已完成不适用

Effect and Associated Factors of the Clinical Pharmacy Model in the Incidence of Medical Errors in the Hospital Pablo Tobon Uribe- Colombia

Universidad de Antioquia2 个研究点 分布在 1 个国家目标入组 720 人开始时间: 2018年2月1日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
入组人数
720
试验地点
2
主要终点
The probability of developing medication errors over a certain period of time and recommendations to avoid such errors.

研究概览

简要总结

Medication errors are considered by WHO to be a subject that requires attention at all levels of care, in order to reduce the serious and preventable damage related to medication.

These strategies are aimed at the patient's safety policy. In Colombia, at the regulatory level there is no standardized clinical pharmacy model where the role of the clinical pharmacist is described extensively and in detail, and in addition, data are unknown of the scope or direct effect of the incorporation of this model in the assistance in the results of health care.

The Hospital Pablo Tobón Uribe, it is a highly complex institution in Medellin (Colombia), certified by Join Comission International (JCI), which requires the continuous interaction of the pharmacist in patient care, in order to avoid medication errors and contribute to patient safety indicators. In this sense, the hospital structured and implemented a clinical pharmacy model that establishes the activities of the pharmacist incorporated into the care team in the patient attention. Today this model is applied in the institution, however, it is necessary to know the effect of its application in the solution of drug-related problems (DRPs) or a negative outcome related to medicine. The objective of this study is to know the effect on patient safety of a clinical pharmacy model in a hospital of high complexity and framed in the WHO initiative to reduce these errors of medication.

详细描述

A randomized controlled clinical trial of stepped wedge will be performed. Patients will be admitted according to the inclusion criteria. Randomization will be done at the cluster level (group) and the result measured in the participants within the cluster.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Sequential
主要目的
Health Services Research
盲法
Single (Outcomes Assessor)

入排标准

性别
All
接受健康志愿者

入选标准

  • To be hospitalized in the Hospital Pablo Tobón Uribe a minimum of 24 hours.
  • Patient with at least 5 drugs in their pharmacological therapy

排除标准

  • Patients with only surgical procedures.

结局指标

主要结局

The probability of developing medication errors over a certain period of time and recommendations to avoid such errors.

时间窗: 2 months

Identify and analyze the types of medication errors

次要结局

  • Factors that contribute to the occurrence of process and outcomes problems(2 months)
  • Problems related with the pharmacotherapy(2 months)
  • To classify according to the clinical severity the results problems detected(2 months)
  • Estimate adjusted survival distribution curves determined by Cox proportional hazards method, in order to estimate the probability that a subject re-mains free of an error medication and its resolution over the time(14 months)

研究者

申办方类型
Other
责任方
Sponsor

研究点 (2)

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