Clinical Trial: Eliminating Risk of Preventable Adverse Drug Events at the Hospital-community Interface of Care

Study Status: Completed
Recruit Status: Completed
Study Type: Interventional

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 an

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 Summary:

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.

Sponsor: Westview Physician Collaborative

Current Primary Outcome:

  • Health Services Utilization 3 Months Following Hospital Discharge [ Time Frame: 3 Months ]
    Mean health services utilization 3 months following hospital discharge. The specific health services utilization was re-admission to hospital, admission to home care, admission to long-term care and visits to emergency departments.
  • Health Services Utilization 6 Months Following Hospital Discharge [ Time Frame: 6 Months ]
    Mean health services utilization 6 months following hospital discharge. The specific health services utilization was re-admission to hospital, admission to home care, admission to long-term care and visits to emergency departments.
  • Health Services Utilization 9 Months Following Hospital Discharge [ Time Frame: 9 Months ]
    Mean health services utilization 9 months following hospital discharge. The specific health services utilization was re-admission to hospital, admission to home care, admission to long-term care and visits to emergency departments.
  • Health Services Utilization 12 Months Following Hospital Discharge [ Time Frame: 12 months ]
    Mean health services utilization 12 months following hospital discharge. The specific health services utilization was re-admission to hospital, admission to home care, admission to long-term care and visits to emergency departments.
  • Health Services Utilization 18 Months Following Hospital Discharge [ Time Frame: 18 months ]
    Mean health services utilization 18 months following hospi

    Original Primary Outcome: Health services utilization following hospital discharge. [ Time Frame: 18 months post-intervention ]

    Current Secondary Outcome:

    Original Secondary Outcome:

    Information By: Westview Physician Collaborative

    Dates:
    Date Received: July 14, 2010
    Date Started: November 2008
    Date Completion:
    Last Updated: February 12, 2013
    Last Verified: February 2013