Electronic Pharmaceutical Record Used for Medication Reconciliation by a Pharmacist Associated to the Anesthesiologist Consultation (DP-CONCIL)

Grenoble Alpes University Hospital Center (CHU)

Status: Unknown

Conditions: Electronic Health Records

Treatments: Other: DP medication reconciliation

Study type: Interventional

Funder types: Other

Identifiers

NCT02071472

DCIC 13 16

Details and patient eligibility

About

The objective is to evaluate the impact of an electronic pharmaceutical record used for medication reconciliation by a pharmacist associated to the anesthesiologist consultation

Experimental intervention:

medication reconciliation by a pharmacist using an electronic pharmaceutical record before the anesthesiologist consultation for planned surgery patients. The clinical pharmacist communicates the recommendations regarding the drug therapy to the anesthesiologist orally and using a specific formulary.

Control intervention:

Conventional anesthesiologist consultation for planned surgery patients.

Full description

Anesthesiology consultation is mandatory in France for planned surgery. It is part of the concept of anesthesia safety. The main goal is to assess the anesthetic and surgical risk including clinical and drug features likely to interfere with the anesthesia. The medication reconciliation is a central part of this consultation especially in order to assess the allergic risk and hemostasis disorders.

However, access to comprehensive and reliable data concerning the consumption of health products by the patient represents a major challenge. The "Dossier Pharmaceutique" (DP) is an electronic pharmaceutical record including medications (prescribed medications, over the counter medications, complementary and alternative medicines) delivered by community pharmacists over a four month period. Hospital pharmacists have access to the DP of hospitalized patients in order to improve the quality of the medication reconciliation. These informations regarding medication of the patients will be shared with anesthesiologists.

Enrollment: 1,076 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• patient coming for anesthetics consultation before a planned surgery
• age above18
• available electronic pharmaceutical record (DP)
• at least one medication prescribed before hospital admission

Exclusion criteria

• Minor patients ou majors protected by law
• Not speaking French patient
• Person who are not free by law or administrative decision

Trial design

Primary purpose: Health Services Research

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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1,076 participants in 2 patient groups

DP medication reconciliation

Experimental group

Description:

medication reconciliation by a pharmacist using an electronic pharmaceutical record associated to the anesthesiologist consultation for planned surgery patients.

Treatment:

Other: DP medication reconciliation

control

No Intervention group

Description:

conventional anesthesiologist consultation for planned surgery patients