None listed
Conditions
Brief summary
Alfred Health has implemented a partnered pharmacist medication charting (PPMC) model which has been in place since November 2012. A randomised trial conducted in 2015 demonstrated that PPMC significantly reduced medication errors on admission compared to a standard medical model. As part of a Department of Health Workforce Innovation Grant, the PPMC model is being extended as a standard of care to patients on admission to residential aged care following discharge from an inpatient admission. The specific aim of this project is to evaluate whether a pharmacist generated interim medication chart facilitates the transfer of medication information when patients are transferred from an inpatient hospital admission to a residential care facility. Aiming to reduce the proportion of missed medication doses and the number of locum medical officer visits in the first 7 days postadmission to the residential care facility. And improving the communication and continuation of hospital medication plans onto long term residential care medication charts. A pre and post methodology will involve visiting the 10 most utilised residential care facilities (RCF) in the Alfred Health catchment to collect data.
Interventions
Pharmacist generated interim medication charts to facilitate the transfer of medication information when patients are transferred from an inpatient hospital admission to a
residential care facility.
On discharge from General Medical units, a seven (7) day interim medication chart generated by partnered pharmacist medication charting and authorised by a medical officer will be supplied along with the discharge summary and discharge prescriptions. This chart is to be used by the residential care
Pharmacist generated interim medication charts to facilitate the transfer of medication information when patients are transferred from an inpatient hospital admission to a residential care facility. On discharge from General Medical units, a seven (7) day interim medication chart generated by partnered pharmacist medication charting and authorised by a medical officer will be supplied along with the discharge summary and discharge prescriptions. This chart is to be used by the residential care facility until the patient is seen by their usual provider. This intervention will begin approximately three months after data collection begins (in order to gather baseline/pre-implementation data) and run for 3 months.
Sponsors
Alfred Health Pharmacy Department
Study design
Allocation
Non-randomised trial
Intervention model
Other
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Hospital admission and discharge from Alfred Health A current patient of the following residential aged care facility on admission to hospital (ie not a new patient to facility following discharge): Royal Freemasons, Jewish Care, Aged Care Services Australia, Emmy Monash Aged Care, Abberfield Aged Care Facility, Menarock Aged Care Services
Exclusion criteria
Patients discharged to residential care facilities not listed above. Patients discharged outside pharmacist working hours (7am to 9pm, Monday to Sunday) Patients who attend the Emergency Department but are not admitted as inpatients Patients who are returning to a RCF and have had no medication changes made during hospitalisation Children and/or young people (<18 years of age)
Outcome results
None listed