Back to resultsClinical Pharmacists in the Emergency Department
Primary Purpose
Medication Reconciliation
Status
Completed
Phase
Not Applicable
Locations
Denmark
Study Type
Interventional
Intervention
Clinical pharmacists conduct medication history
Sponsored by
About this trial
This is an interventional health services research trial for Medication Reconciliation focused on measuring Pharmacy, Length-of-stay, Emergency Department
Eligibility Criteria
Inclusion Criteria:
- unscheduled patients admitted to the Emergency Department at Randers Regional Hospital at weekdays during daytime (9 am to 16.15 pm)
- 4 or more drugs prescribed
Exclusion Criteria:
- patients triage red
- patients who cannot give informed consent
- terminal patients
- patients admitted to detoxification
- patients refered to the acute outpatient department
- patients remaining in the Emergency Department overnight
Sites / Locations
- Randers Regional Hospital
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
No Intervention
Arm Label
Intervention
Control
Arm Description
Clinical pharmacists conduct medication history
standard procedures for admission is followed
Outcomes
Primary Outcome Measures
Emergency Department Length of stay
Secondary Outcome Measures
Time from patient arrival to the treatment schedule is ready
Patient safety
Number of recommended changes in drugs or dosage per patient. The changes are rated according to a PCNE-classification for drug-related problems.
Full Information
NCT ID
NCT02223676
First Posted
January 7, 2014
Last Updated
May 17, 2018
Sponsor
Randers Regional Hospital
Collaborators
Aarhus University Hospital
1. Study Identification
Unique Protocol Identification Number
NCT02223676
Brief Title
Clinical Pharmacists in the Emergency Department
Official Title
Is Length of Stay in the Emergency Department Reduced When Clinical Pharmacists Conduct Medication History? - a Cluster Randomized Study
Study Type
Interventional
2. Study Status
Record Verification Date
August 2014
Overall Recruitment Status
Completed
Study Start Date
October 2013 (undefined)
Primary Completion Date
June 2014 (Actual)
Study Completion Date
December 2014 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Randers Regional Hospital
Collaborators
Aarhus University Hospital
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The purpose of this study is to investigate the effect of implementing clinical pharmacists in the Emergency Department Team at Randers Regional Hospital. The clinical pharmacists conduct medication history, make medical interaction screenings, -reconciliations and -reviews on unscheduled patients admitted to the Emergency Department during daytime.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Medication Reconciliation
Keywords
Pharmacy, Length-of-stay, Emergency Department
7. Study Design
Primary Purpose
Health Services Research
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
448 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Intervention
Arm Type
Experimental
Arm Description
Clinical pharmacists conduct medication history
Arm Title
Control
Arm Type
No Intervention
Arm Description
standard procedures for admission is followed
Intervention Type
Procedure
Intervention Name(s)
Clinical pharmacists conduct medication history
Intervention Description
pharmacists conduct medication history before the physician interviews the patient and does not spend time on conducting medical history
Primary Outcome Measure Information:
Title
Emergency Department Length of stay
Time Frame
From arrival to the Emergency Department to either admission or discharge, which in average will be 6 hours.
Secondary Outcome Measure Information:
Title
Time from patient arrival to the treatment schedule is ready
Time Frame
From arrival to the Emergency Department to either admission or discharge, which in average will be 6 hours.
Title
Patient safety
Description
Number of recommended changes in drugs or dosage per patient. The changes are rated according to a PCNE-classification for drug-related problems.
Time Frame
From arrival to the Emergency Department to either admission or discharge, which in average will be 6 hours.
Other Pre-specified Outcome Measures:
Title
The impact of the intervention in the Emergency Department on the existing medication review by clinical pharmacist at the acute ward
Description
We estimate whether the intervention is time-saving (by recording and comparing time spent for secondary/excisting medication review at the acute ward between patients allocated to the intervention and control group, respectively) and reduce the workload of the clinicians (number and kind of interventions at secondary medication review in the two groups)
Time Frame
1-3 days after admission to Emergency Department when the secondary medication review takes place
Title
The impact of the intervention in the Emergency Department on the dispensing of medicine (done by nurses)
Description
time used and the possibility of substitutions
Time Frame
During actual admission to the Emergency Department and the period after inclusion of patients
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
unscheduled patients admitted to the Emergency Department at Randers Regional Hospital at weekdays during daytime (9 am to 16.15 pm)
4 or more drugs prescribed
Exclusion Criteria:
patients triage red
patients who cannot give informed consent
terminal patients
patients admitted to detoxification
patients refered to the acute outpatient department
patients remaining in the Emergency Department overnight
Facility Information:
Facility Name
Randers Regional Hospital
City
Randers
State/Province
Region Midt
ZIP/Postal Code
8900
Country
Denmark
12. IPD Sharing Statement
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Clinical Pharmacists in the Emergency Department
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