Electronic Pharmaceutical Record Used for Medication Reconciliation by a Pharmacist Associated to the Anesthesiologist Consultation

Study Overview
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Brief Summary
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The objective is to evaluate the impact of an electronic pharmaceutical record used for medication reconciliation by a pharmacist associated to the anesthesiologist consultation Experimental intervention: medication reconciliation by a pharmacist using an electronic pharmaceutical record before the anesthesiologist consultation for planned surgery patients. The clinical pharmacist communicates the recommendations regarding the drug therapy to the anesthesiologist orally and using a specific formulary. Control intervention: Conventional anesthesiologist consultation for planned surgery patients.

Detailed Description
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Anesthesiology consultation is mandatory in France for planned surgery. It is part of the concept of anesthesia safety. The main goal is to assess the anesthetic and surgical risk including clinical and drug features likely to interfere with the anesthesia. The medication reconciliation is a central part of this consultation especially in order to assess the allergic risk and hemostasis disorders. However, access to comprehensive and reliable data concerning the consumption of health products by the patient represents a major challenge. The Dossier Pharmaceutique (DP) is an electronic pharmaceutical record including medications (prescribed medications, over the counter medications, complementary and alternative medicines) delivered by community pharmacists over a four month period. Hospital pharmacists have access to the DP of hospitalized patients in order to improve the quality of the medication reconciliation. These informations regarding medication of the patients will be shared with anesthesiologists.

Official Title
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Evaluation of the Impact of an Electronic Pharmaceutical Record Used for Medication Reconciliation by a Pharmacist Associated to the Anesthesiologist Consultation

Conditions
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Electronic Health Records

Intervention / Treatment
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* Other: DP medication reconciliation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: patient coming for anesthetics consultation before a planned surgery age above18 available electronic pharmaceutical record (DP) at least one medication prescribed before hospital admission Exclusion Criteria: Minor patients ou majors protected by law Not speaking French patient Person who are not free by law or administrative decision

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: DP medication reconciliation<br>medication reconciliation by a pharmacist using an electronic pharmaceutical record associated to the anesthesiologist consultation for planned surgery patients. | Other: DP medication reconciliation<br> <br> |
| No Intervention: control<br>conventional anesthesiologist consultation for planned surgery patients | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of participants with a potential or documented adverse drug event collected by using trigger tool method |  | within the first 30 days after surgery | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of medications reported by the anesthesiologist in the medical record |  | winthin 2 to 4 weeks between anesthesiogist consultation and surgery |