Pharmacists and Pharmacy Technicians to Improve Admission Medication History Accuracy
We will test two interventions to improve the accuracy of medication histories obtained at hospital admission. The interventions will target elderly and chronically ill patients prone to erroneous medication histories and resultant medication errors. For targeted patients, we will test the effect of using pharmacists and pharmacy technicians to obtain an initial medication history. This will be studied using a randomized controlled trial of usual care (which involves nurses and physicians) vs usual care + pharmacists vs usual care + pharmacy technicians to obtain an admission medication history.
Our overarching hypothesis is that by leveraging pharmacists and pharmacy technicians we can minimize admission medication history errors and related downstream events.
Adverse Drug Events
Other: Pharmacist obtains admission medication history
Other: Pharmacy technician obtains admission medication history
|Study Design:||Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Health Services Research
|Official Title:||Pharmacists and Pharmacy Technicians to Improve Admission Medication History Accuracy|
- Medication History Errors, or Medication Order Errors [ Time Frame: within 48 hours of hospital admission ] [ Designated as safety issue: Yes ]The project was originally funded to measure the effect of these interventions on medication history errors. We are currently applying for more funding which would allow us to use the more meaningful, more downstream outcome of medication order errors, and this will become the primary outcome if funding for such is received.
|Study Start Date:||January 2014|
|Estimated Study Completion Date:||February 2014|
|Estimated Primary Completion Date:||February 2014 (Final data collection date for primary outcome measure)|
|No Intervention: Usual care|
Experimental: Pharmacist obtains home med hx
Pharmacist obtains admission medication history
|Other: Pharmacist obtains admission medication history|
Experimental: Pharm tech obtains home med hx
Pharmacy technician obtains admission medication history
|Other: Pharmacy technician obtains admission medication history|