Patients at High Risk of Medicine-related Problems | Pharmacist-led Medicines Management Outpatient Service
Patients at High Risk of Medicine-related Problems research study
What is the primary objective of this study?
It widely accepted that a number of medication related problems can occur after the patient has been discharged from the hospital. An obvious extension of the ongoing integrated medicines management programme (IMMP) is therefore to provide a medicines management clinic within an outpatient setting as well as follow-up telephone calls from a clinical pharmacist. This study aims to assess the influence a pharmacist-led medicines management outpatient service on patients at high risk of medication related problems. It is anticipated that this service will - Ensure continuity of pharmaceutical care for patients post discharge. - Reinforce patient education in order to improve knowledge and understanding of the medication prescribed. - Ensure that both prescription medicines and OTC preparations are used appropriately. - Facilitate the communication with other members of healthcare team in order to agree and implement measures to overcome medication related problems.
Who is eligible to participate?
Inclusion Criteria: Patients (>= 18 years old) admitted into one of the study hospitals as acute/unscheduled medical admission and meet at least one of the following criteria: - Prescribed five or more regular long term medications. - Have three or more changes to medications during hospital stay. - Past history of medication related problems. - Patient referred to the medicines management clinic service by hospital doctor or clinical pharmacist due to concerns about ability to manage medicines in primary care. Exclusion Criteria: - Patient being discharged to residential/nursing homes - Palliative care patients - Patients unable to give informed consent e.g. Alzheimer's Disease - Patients unable to use telephone at home.
Which medical condition, disease, disorder, syndrome, illness, or injury is researched?
Patients at High Risk of Medicine-related Problems
Interventions can include giving participants drugs, medical devices, procedures, vaccines, and other products that are either investigational or already available or noninvasive approaches such as surveys, education, and interviews.
Other:Medicines Management Outpatient serviceNew customised clinical pharmacy service (medicines management clinic and follow-up phone calls)
Research studies and clinical trials typically have two or more research arms. An arm is a group of people who receive the same treatment in the study.
Outpatient Medicine Management ClinicConsented patients will attend two outpatient clinic appointments to receive help with any (potential) medicine-related problems
ControlPatients will receive the normal care provided by the hospital
Start Date: November 2014
Completed Date: December 2017
Phase: Phase 4
Primary Outcome: Time to readmission to hospital
Secondary Outcome: Number of Readmission
Study sponsors, principal investigator, and references
Principal Investigator: James C McElnay, BSc, PhD
Lead Sponsor: Queen's University, Belfast