Clinical trial NCT01164137: Eliminating Risk of Preventable Adverse Drug Events at the Hospital-community Interface of Care
Official title: Eliminating Risk of Preventable Adverse Drug Events at the Hospital-community Interface of Care: to Develop and Test a Community-based Medication Reconciliation Program and a Risk Prediction Model That Identifies High-risk Patient Groups
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Adverse Drug Events
Keywords: Adverse Drug Events
Medication Reconciliation
Pharmacist-led Intervention
Lead sponsor: Westview Physician Collaborative
Sponsor class: OTHER
First posted: 2010-07-16
Enrollment: 156
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: This initiative aims to decrease the risk of medication errors at the hospital-community interface as well as health system utilization following hospital discharge by implementing a pharmacist-led medication reconciliation in the patients' home within 72 hours of hospital discharge.

Detailed description: The goals of this initiative are to decrease the risk for medication errors at the hospital community interface of care, thus decreasing preventable adverse drug events and preventable drug-related health system utilization following hospital discharge. This initiative has four objectives that aim to:

1. Develop and test a community-based medication reconciliation process/intervention.
2. Design and conduct a randomized controlled trial to examine the impact of the intervention on post-discharge health services utilization by comparing a set of outcome variables between intervention and non-intervention groups.
3. Design a risk prediction model that helps identify patients discharged from in-patient care with the highest level of need for the intervention.
4. Determine whether a community-based medication reconciliation process/intervention adds risk reduction value to individuals who have undergone an in-hospital medication reconciliation.

Eligibility criteria: Inclusion Criteria:

* Patients attending the WestView Health Centre Medicine/Family Health Unit with at least one medication at discharge.

Exclusion Criteria:

* First Nations persons
* Residents of continuing care or assisted living facilities
* Persons not residing in the Edmonton, AB, Canada region
* Persons who obtain a score of 19 or less on the Mini Mental State Examination (MMSE)

Primary outcomes:
measure: Health Services Utilization 3 Months Following Hospital Discharge
timeFrame: 3 Months
measure: Health Services Utilization 6 Months Following Hospital Discharge
timeFrame: 6 Months
measure: Health Services Utilization 9 Months Following Hospital Discharge
timeFrame: 9 Months
measure: Health Services Utilization 12 Months Following Hospital Discharge
timeFrame: 12 months
measure: Health Services Utilization 18 Months Following Hospital Discharge
timeFrame: 18 months
Secondary outcomes:
Other outcomes:
Locations:
city: Stony Plain
country: Canada
facility: WestView Health Centre
state: Alberta
Study officials:
affiliation: Westview Physician Collaborative
name: Allan Bailey, M.D.
role: PRINCIPAL_INVESTIGATOR
affiliation: WestView Primary Care Network
name: Grace Moe, M.Sc.P.T.
role: STUDY_DIRECTOR
References: