Medication Reviews ReDirected (MedReDi): Acute Coronary Syndrome as an Indication for Home Medicine Review, a Randomised Controlled Trial

Home Medicine Review - a service provided by specifically trained pharmacists on request from a patient's GP. Following GP referral, the patient's community pharmacist selects an accredited pharmacist to complete the review and passes on the referral. The accredited pharmacist visits the patient, preferably in their home and discusses their current methods for managing their medication. From this visit, the accredited pharmacist compiles a report for the GP, detailing the patient's actual list of medications at their home and how they were taking them as well as any recommendations for improvement of the medication regimen. In this trial we will be using acute coronary syndrome as a referral trigger for this process. This process should occur at or near two months post-discharge. In this trial the accredited pharmacists completing the reviews will be given additional training and a brief assessment quiz on evidence-based management of acute coronary syndrome (ACS) and how to include this into an ACS-specific home medicine review. If an accredited pharmacist is not available or not willing to undertake the education then a study pharmacist who has also undergone the training package will complete the review.