Medicines Reconciliation at an Intensive Care Unit
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 50
- 试验地点
- 1
- 主要终点
- Number of patients with at least one discrepancy between medications listed on hospital chart and medications used at home before hospital admittance
研究概览
简要总结
This study evaluates the effect of performing medicines reconciliation on patients admitted to an intensive care unit. Half of the patients will receive a medicines reconciliation at the intensive care unit. The other half will not. All included patients will receive medicines reconciliation after transfer to the ward.
详细描述
Transfer of patients from one level of care to another is known to increase the risk of medication errors. Medication reconciliation is an accepted intervention to increase the knowledge on the patients medication use, thus reducing the risk of avoidable medication errors. For patients in the intensive care unit treatment of the imminent threat is obviously the most important. Nevertheless, knowledge about previous medications are important.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Single (Care Provider)
盲法说明
The care provider performing medicines reconciliation at ward is semimasked. The masking might be broken if the patients tells if he/she has been interviewed earlier in the study
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
- •belonging to the hospitals intake area
- •written informed concent by the patient or his/her next to kin
排除标准
- •Patients without next to kin
- •Not Norwegian speaking, in need of a translator
- •medication reconciliation performed earlier
- •Patients with Guillain-Barre or Myasthenia Gravis, due to long expectancy of stay
- •Short life expectancy, decided in cooperation with the physician
结局指标
主要结局
Number of patients with at least one discrepancy between medications listed on hospital chart and medications used at home before hospital admittance
时间窗: Medicines reconciliation is performed at randomisation and within 48 hours after transmission to the ward, assessed up to 28 days after randomisation
Medications listed on the medication chart were recorded on a predefined form, this included information on dosage form, strength, dosage and administration time for each drug. The pharmacist performed medicines reconciliation either by interviewing the patient or by gathering information from other sources as the patient's general practitioner, next-to-kin or if relevant nursing home. Any deviations between the information from the medication chart and information obtained during medicines reconciliation was defined as a discrepancy.
次要结局
- Retrospective evaluation on the clinical relevance of the observed medical discrepancies(Retrospectively, based on the information gathered from the day of randomisation up until 28 days after randomisation)
研究者
Silje Engdal Ørnes
Clinical pharmacist, Ph.d
University Hospital, Akershus