N/A
Completed N=306
Pharmacists and Pharmacy Technicians to Improve Admission Medication History Accuracy
Adverse Drug Events
Source: ClinicalTrials.gov NCT02026453 ↗
Enrolled (actual)
306
Serious AEs
—
Results posted
Oct 2017
Primary outcomePrimary: Mean Severity-weighted Admission Medication History (AMH) Error Score — 23; 4.1; 4.1 Mean Severity-weighted AMH Error Score
Summary
We tested two interventions to improve the accuracy of medication histories obtained at hospital admission. The interventions target elderly and chronically ill patients prone to erroneous medication histories and resultant medication errors. For targeted patients, we tested the effect of using pharmacists and pharmacy technicians to obtain an initial medication history. This was 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.
The overarching hypothesis was that by leveraging pharmacists and pharmacy technicians we can minimize admission medication history errors and related downstream events.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Mean Severity-weighted Admission Medication History (AMH) Error Score |
23; 4.1; 4.1 | — |
| SECONDARY Mean Severity-Weighted Admission Medication Order (AMO) Error Score |
6.9; 1.5; 1.2 | — |
Eligibility Criteria
Inclusion criteria
- Accessed via EHR, were: >=10 chronic prescription medications
- History of acute myocardial infarction or congestive heart failure
- Admission from skilled nursing facility
- History of transplant, or active anticoagulant, insulin, or narrow therapeutic index medications.
Exclusion criteria:(supersedes inclusion criteria)
- Admitted to pediatric, trauma or transplant services with pharmacists
Data sourced from ClinicalTrials.gov (NCT02026453). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.