The Impact of Clinical Pharmacist in the Identification and Management of Treatment Related Problems in the Surgery Ward

NCT ID: NCT04941820

Last Updated: 2021-06-28

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-09-29

Study Completion Date

2020-02-06

Brief Summary

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Patients in the surgery ward are at risk of morbidity and mortality from various types of treatment-related problems (TRPs). The primary aim of this study is to assess the impact of the clinical pharmacist in the identification and management of TRPs in the surgery ward.

Detailed Description

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Patients were randomly assigned to intervention (n=50) and usual care (n=50) arms. The clinical pharmacist assessed the types, frequencies, and clinical significance of TRPs for all recruited patients at baseline. Patients and treating surgeons in the intervention arm received recommendations concerning the identified TRPs, while the usual care arm did not. The number of TRPs was reevaluated at follow-up.

Conditions

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Surgical Patients

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

All patients were followed up prospectively for their length of hospital stay, and recommendations concerning each identified TRP were provided to the surgeons responsible for patients in the intervention group. Likewise, patient counseling and encouraging adherence to therapy were provided solely to patients in the intervention group. Patients in the control group received usual care by the surgical team without a coordinated contribution from the clinical pharmacist.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Clinical pharmacist intervention + usual care arm

Patients in the clinical pharmacist intervention + usual care arm received the clinical pharmacist intervention as well as usual care provided by the surgical team

Group Type EXPERIMENTAL

clinical pharmacist intervention

Intervention Type OTHER

clinical pharmacist intervention

Usual care arm (Control arm)

Patients in the control arm received usual care by the surgical team without a coordinated contribution from the clinical pharmacist

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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clinical pharmacist intervention

clinical pharmacist intervention

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Admission for elective, urgent, or emergency surgery
* age 18 years or older
* Expected length of stay of 3 days or more in the general surgical ward or the SICU

Exclusion Criteria

* Pregnancy, breastfeeding, drug or alcohol abuse, active malignancy, or admission for plastic surgery
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Jordan

OTHER

Sponsor Role lead

Responsible Party

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Hiba Al Fahmawi

Study Director

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Hiba I. Al Fahmawi, PharmD, MSc

Role: STUDY_DIRECTOR

School of Pharmacy, The University of Jordan, Amman, Jordan

Locations

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University of Jordan

Amman, , Jordan

Site Status

Countries

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Jordan

References

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AbuRuz SM, Bulatova NR, Yousef AM. Validation of a comprehensive classification tool for treatment-related problems. Pharm World Sci. 2006 Aug;28(4):222-32. doi: 10.1007/s11096-006-9048-0. Epub 2006 Oct 26.

Reference Type BACKGROUND
PMID: 17066238 (View on PubMed)

Basheti IA, Ayasrah SM, Ahmad M. Identifying treatment related problems and associated factors among hospitalized post-stroke patients through medication management review: A multi-center study. Saudi Pharm J. 2019 Feb;27(2):208-219. doi: 10.1016/j.jsps.2018.10.005. Epub 2018 Oct 19.

Reference Type BACKGROUND
PMID: 30766431 (View on PubMed)

Bilal AI, Tilahun Z, Beedemariam G, Ayalneh B, Hailemeskel B, Engidawork E. Attitude and satisfaction of health care providers towards clinical pharmacy services in Ethiopia: A post-deployment survey. J Pharm Policy Pract. 2016 Mar 8;9:7. doi: 10.1186/s40545-016-0058-6. eCollection 2016.

Reference Type BACKGROUND
PMID: 26962456 (View on PubMed)

Hepler CD. Clinical pharmacy, pharmaceutical care, and the quality of drug therapy. Pharmacotherapy. 2004 Nov;24(11):1491-8. doi: 10.1592/phco.24.16.1491.50950.

Reference Type BACKGROUND
PMID: 15537552 (View on PubMed)

Other Identifiers

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80/2019/1943

Identifier Type: -

Identifier Source: org_study_id

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