Impact of a Pharmacist-anesthesiologist Collaboration During Anesthesia Consultation on Prevention of Perioperative Medication Errors of Patients in Programmed Surgery

Study Overview
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Brief Summary
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The investigators will evaluate the efficiency of a pharmacist-anesthesiologist collaboration in the anesthetic consultation in the prevention of medical errors perioperatively in patients undergoing scheduled surgery

Official Title
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Impact of a Pharmacist-anesthesiologist Collaboration During Anesthesia Consultation on Prevention of Perioperative Medication Errors of Patients in Programmed Surgery

Conditions
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Surgical Procedures, Operative

Intervention / Treatment
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* Other: Pluridisciplinary consultation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: The patient must have given their free and informed consent The patient must be a member or beneficiary of a health insurance plan The patient has at least one chronic medication prescription (associated with a chronic illness) The patient is hospitalized for a programmed surgery in the service of urology or digestive surgery at the CHU Nimes or orthopedic surgery in the CHU Montpellier or Toulouse Exclusion Criteria: The subject is participating in an interventional study, or is in a period of exclusion determined by a previous study The subject refuses to sign the consent It is impossible to give the subject informed information The patient is under safeguard of justice or state guardianship The patient is having ambulatory programmed surgery The patient has an anesthetic consultation in a different health establishment

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Standard consultation<br> | |
| Pharmacist-anesthesiologist consultation<br> | Other: Pluridisciplinary consultation<br>* Pharmacist-anesthesiologist team will be present during the anesthetic consultation<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Rate of patients with at least one medication error for chronic treatment |  | 48 hours post-admission | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Nature of medication error | According to REMED (Revue des Erreurs liées aux Médicaments Et Dispositifs médicaux) classification | 48 hours post-admission | 
| Rate of medication errors corrected |  | 48 hours post-admission | 
| Rate of prescriptions respecting the Société Française d'Anesthésie et de Réanimation recommendations |  | 48 hours post-admission | 
| Rate of corrected medication errors or major, critical or catastrophic severity according to HAS 2018 |  | 48 hours post-admission | 
| Rate of patients whose usually prescribed medication at admission is not available for them in the evening following surgery |  | 48 hours post-admission | 
| Rate of medications not available on the establishment's therapeutic book and not brought by the patient |  | 48 hours post-admission | 
| Duration in hospital | Days | End of hospitalization (max 30 days) | 
| Rate of delay or cancellation of surgery linked to preoperational medication error |  | End of study (13 months) |