Medication Reconciliation
Conditions
Keywords
Pharmacy, Length-of-stay, Emergency Department
Brief summary
The purpose of this study is to investigate the effect of implementing clinical pharmacists in the Emergency Department Team at Randers Regional Hospital. The clinical pharmacists conduct medication history, make medical interaction screenings, -reconciliations and -reviews on unscheduled patients admitted to the Emergency Department during daytime.
Interventions
PROCEDUREClinical pharmacists conduct medication history
pharmacists conduct medication history before the physician interviews the patient and does not spend time on conducting medical history
Sponsors
Aarhus University Hospital
Randers Regional Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* unscheduled patients admitted to the Emergency Department at Randers Regional Hospital at weekdays during daytime (9 am to 16.15 pm) * 4 or more drugs prescribed
Exclusion criteria
* patients triage red * patients who cannot give informed consent * terminal patients * patients admitted to detoxification * patients refered to the acute outpatient department * patients remaining in the Emergency Department overnight
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Emergency Department Length of stay | From arrival to the Emergency Department to either admission or discharge, which in average will be 6 hours. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Time from patient arrival to the treatment schedule is ready | From arrival to the Emergency Department to either admission or discharge, which in average will be 6 hours. | — |
| Patient safety | From arrival to the Emergency Department to either admission or discharge, which in average will be 6 hours. | Number of recommended changes in drugs or dosage per patient. The changes are rated according to a PCNE-classification for drug-related problems. |
Other
| Measure | Time frame | Description |
|---|---|---|
| The impact of the intervention in the Emergency Department on the existing medication review by clinical pharmacist at the acute ward | 1-3 days after admission to Emergency Department when the secondary medication review takes place | We estimate whether the intervention is time-saving (by recording and comparing time spent for secondary/excisting medication review at the acute ward between patients allocated to the intervention and control group, respectively) and reduce the workload of the clinicians (number and kind of interventions at secondary medication review in the two groups) |
| The impact of the intervention in the Emergency Department on the dispensing of medicine (done by nurses) | During actual admission to the Emergency Department and the period after inclusion of patients | time used and the possibility of substitutions |
Countries
Denmark
Outcome results
None listed