Medication Reconciliation in Comparison to an Extensive Medication Safety Check

NCT ID: NCT02413957

Last Updated: 2017-01-11

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 220 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2015-01-31
• Study Completion Date: 2016-01-31

Brief Summary

The purpose of this study is to determine wether an extensive medication safety check has a greater impact on the incidence of adverse drug events than medication reconciliation or no intervention.

Conditions

Elderly; Adverse Drug Event

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: HEALTH_SERVICES_RESEARCH
• Blinding Strategy: NONE

Study Groups

Controll-Group

Patient randomized to the Control-Group will receive the traditional care by physician and nurse on the ward.

Group Type: NO_INTERVENTION

No interventions assigned to this group

MedRec-Group

Patient randomized to the MedRec-Group will receive the traditional care by physician and nurse on the ward and additional pharmacist led medication reconciliation.

Group Type: EXPERIMENTAL

Medication Reconciliation

Intervention Type: OTHER

Pharmacist take the best possible medication history (BPMH), comparison of the BPMH with the admission order (AMO), clarify and solve al discrepancies between the BPMH and the AMO.

AMTS-Group

Patient randomized to the AMTS-Group will receive the traditional care by physician and nurse on the ward and additional pharmaceutical care by a pharmacist.

Group Type: EXPERIMENTAL

Pharmaceutical Care

Intervention Type: OTHER

Checking medication under safety considerations (medication at admission, during hospital stay, at discharge); recommendations for inappropriate medication (e.g. contraindications or interactions) or medication related problems. Pharmaceutical care includes Medication Reconciliation.

Interventions

Medication Reconciliation

Pharmacist take the best possible medication history (BPMH), comparison of the BPMH with the admission order (AMO), clarify and solve al discrepancies between the BPMH and the AMO.

Intervention Type: OTHER

Pharmaceutical Care

Checking medication under safety considerations (medication at admission, during hospital stay, at discharge); recommendations for inappropriate medication (e.g. contraindications or interactions) or medication related problems. Pharmaceutical care includes Medication Reconciliation.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Patient 65 years and older
• written informed consent patient or the legal representative
• existing medication therapy at hospitalization
• admission to one of the project wards via emergency department (non elective)

Exclusion Criteria

• patients included in the study previously

• Minimum Eligible Age: 65 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Ärztliche Zentrum für Qualität in der Medizin

OTHER

Sponsor Role: collaborator

Universitätsklinikum Bonn - Institut für Patientensicherheit

UNKNOWN

Sponsor Role: collaborator

RWTH Aachen University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Locations

University Hospital Aachen

Aachen, , Germany

Countries

Germany

References

Franzen K, Lenssen R, Jaehde U, Eisert A. [Medication Reconciliation-theory and practice]. Ther Umsch. 2014 Jun;71(6):335-42. doi: 10.1024/0040-5930/a000521. German.

Reference Type: BACKGROUND

PMID: 24867348 (View on PubMed)

Other Identifiers

14178

Identifier Type: -

Identifier Source: org_study_id