Medication Histories Conducted by Nurses (RNs), Pharmacy Techs (CPhTs) & Pharmacists (RPhs)
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ClinicalTrials.gov Identifier: NCT01065675 |
Recruitment Status
:
Terminated
(Statistical analysis of 153 enrolled Phase 1 patients showed that specific patients could not be targeted for medication histories by discipline.)
First Posted
: February 9, 2010
Last Update Posted
: December 28, 2012
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Up to 50% of medication errors and 20% of adverse drug reactions (ADRs) in the hospital setting are estimated to be related to communication issues regarding patient medications at various transition points of care from admission to discharge. The Joint Commission (TJC) requires accurate and complete medication reconciliation occur at each transition point throughout hospitalization. Evidence from NQF demonstrates pharmacists (RPh) are the most effective medication management team leaders in the implementation of medication management practices and design of medication error reduction strategies; medication reconciliation is one of the five safety objectives pharmacists are recommended to lead. In addition, the Massachusetts Coalition for the Prevention of Medical Errors states strong evidence supports the use of pharmacy technicians (CPhT) in conjunction with pharmacists in completing accurate medication histories.
WMC nurses (RN) currently are involved in the medication reconciliation process. In 2009, a Medication Use Evaluation (MUE) of Medication Reconciliation Accuracy found a 67% medication error rate on admission determined by comparing the nurse-obtained medication history to the pharmacist-obtained medication history. The number of home medications identified by the pharmacist compared to the nurse was 411 versus 312 (p<0.0001). The total percentage of medication errors prevented by the pharmacist was 66.2. Using the VA Healthcare Failure Mode Effects Analysis - HFMEA™ Hazard Scoring Matrix, 3 independent pharmacist reviewers found that 18% of patients interviewed had a score greater than 7, and 3 patients had a score of 12 (major/probable), if the discrepancies would not have been identified and corrected by the pharmacist conducting the admission medication reconciliation audit. The same patients' discharge medication reconciliation and discharge medication lists were retrospectively reviewed for the MUE, and the total percentage of patients with medication errors on discharge was 43%.
Condition or disease | Intervention/treatment | Phase |
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Medication Reconciliation Emergency Department | Other: Medication reconciliation completed by a RN, CPhT, or RPh | Not Applicable |
Study Type : | Interventional (Clinical Trial) |
Actual Enrollment : | 153 participants |
Intervention Model: | Single Group Assignment |
Masking: | Single (Care Provider) |
Primary Purpose: | Health Services Research |
Official Title: | Electronic Patient Triage Development and Implementation Involving Nurse (RN), Pharmacy Technician (CPhT), and Pharmacist (RPh) Obtained Medication Histories in the Emergency Department (ED)and Impact on Medication Reconciliation |
Study Start Date : | February 2010 |
Actual Primary Completion Date : | April 2010 |
Actual Study Completion Date : | May 2011 |
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Other: Medication reconciliation completed by a RN, CPhT, or RPh
- Medication Reconciliation
- Pharmacist
- Nurse
- Certified Pharmacy Technician
- Emergency Department
- ED
- To determine which patients benefit most from medication histories obtained by the RN, CPhT, or RPh based on accuracy (% complete disease states, allergy documentation and description, vaccination documentation, medication documentation) [ Time Frame: 5 months ]

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Ages Eligible for Study: | Child, Adult, Senior |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Patients admitted as inpatients from the Emergency Department
Exclusion Criteria:
- Prisoners (because the IRB does not have a prisoner representative)
- Patients not admitted as inpatients through the Emergency Department
- Patients admitted more than once during the study period

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01065675
United States, Kansas | |
Wesley Medical Center | |
Wichita, Kansas, United States, 67214 |
Principal Investigator: | Joan S Kramer, PharmD | Wesley Medical Center |
Responsible Party: | Joan Kramer, Clinical Research Pharmacist, Wesley Medical Center |
ClinicalTrials.gov Identifier: | NCT01065675 History of Changes |
Other Study ID Numbers: |
09-068 |
First Posted: | February 9, 2010 Key Record Dates |
Last Update Posted: | December 28, 2012 |
Last Verified: | December 2012 |
Keywords provided by Joan Kramer, Wesley Medical Center:
Medication Reconciliation Emergency Department Nurse |
Pharmacist Certified Pharmacy Technician Medication reconciliation: inpatients admitted from the ED |
Additional relevant MeSH terms:
Emergencies Disease Attributes Pathologic Processes |