Clinical trial NCT02071472: Electronic Pharmaceutical Record Used for Medication Reconciliation by a Pharmacist Associated to the Anesthesiologist Consultation
Official title: Evaluation of the Impact of an Electronic Pharmaceutical Record Used for Medication Reconciliation by a Pharmacist Associated to the Anesthesiologist Consultation
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Electronic Health Records
Lead sponsor: University Hospital, Grenoble
Sponsor class: OTHER
First posted: 2014-02-26
Enrollment: 1076
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NON_RANDOMIZED
Intervention model: PARALLEL
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: 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: 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.

Eligibility criteria: 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

Primary outcomes:
measure: Number of participants with a potential or documented adverse drug event collected by using trigger tool method
timeFrame: within the first 30 days after surgery
Secondary outcomes:
measure: Number of medications reported by the anesthesiologist in the medical record
timeFrame: winthin 2 to 4 weeks between anesthesiogist consultation and surgery
Other outcomes:
measure: Number of participants with a documented adverse drug event over the perioperative period
timeFrame: within the first 30 days after surgery
measure: Demographic, clinical and therapeutic characteristics of all included participants
timeFrame: at inclusion
measure: Number of participants having an electronic pharmaceutical record (DP) open
timeFrame: at inclusion
Locations:
city: Grenoble
country: France
facility: Pharmacy Department - University Hospital of Grenoble
state: Isère
Study officials:
affiliation: University Hospital, Grenoble
name: Pierrick BEDOUCH, PharmD, PhD
role: STUDY_CHAIR
References: