Number of unintended medication discrepancies identified after patient discharge from the orthopedic department Medication Reconciliation
Conditions
Interventions
Involving a pharmacist in the discharge process from the orthopedic surgery department by performing medication reconciliation, patient counseling, and telephone follow-up in addition to the standard
Incorporating pharmacists in the discharge process by completing medication reconciliation and providing patient counseling
Pharmacist telephone follow-up of the patient 3 days post-dischage
Medication Reconciliation and Patient Counseling
Follow-up
Sponsors
Lebanese American University
Eligibility
Sex/Gender
All
Age
18 Years to 95 Years
Inclusion criteria
Inclusion criteria: Subjects must meet all the inclusion criteria to participate in the study • Informed Consent • Adult (=18 years) • Discharged from orthopedic surgery unit with = 1 discharge medication
Exclusion criteria
Exclusion criteria: Subjects meeting any of the exclusion criteria at baseline screening will be excluded • Did not provide consent • Previously enrolled in another study • Being transferred to another hospital • Being transferred to another unit within the hospital
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Name: Unintended medication discrepancies identified;Timepoints: Day 30 post-discharge;Measure: Number of unintended medication discrepancies identified | — |
Secondary
| Measure | Time frame |
|---|---|
| Name: unplanned physician contact, Emergency Room admission, hospital readmission;Timepoints: Day 30 post-discharge;Measure: Composite endpoint of unplanned physician contact, Emergency Room admission, hospital readmission (and individual components of the composite endpoint);Name: Adverse Drug Events;Timepoints: Day 30 post-discharge;Measure: Number and type of adverse drug events;Name: Patient Satisfaction;Timepoints: Day 30 post-discharge;Measure: HCAHPS survey | — |
Countries
Lebanon
Contacts
Public ContactSouad Diab
Lebanese American University
Outcome results
None listed