Impact of Multidisciplinary Review of Drug Prescriptions on Patient Safety in a Residence for Dependent Elderly (Rev-EHPAD)

Centre Hospitalier Universitaire de Nīmes

Status: Completed

Conditions: Geriatrics; Health Services for the Aged; Residence for Dependent Elderly

Treatments: Other: Before-after study

Study type: Interventional

Funder types: Other

Identifiers

NCT02118259

2013-A01590-45 (Other Identifier)

LOCAL/2013/GL-01

Details and patient eligibility

About

The main objective of the study is to show that the multidisciplinary review of drug prescriptions changes the adverse drug event (ADE) geriatric risk score (according to Trivalle and Ducimetière 2013) for patients living in the Nîmes University Hospital Residence for Dependent Elderly.

Full description

The secondary objectives of this study are to assess and compare the following criteria before and after multidisciplinary review of drug prescriptions for patients in the Nîmes University Hospital Residence for Dependent Elderly:

A. the number of patients with at least one potentially inappropriate drug prescribed

B. the number of hospitalizations

C. death rate

D. the number of falls per patient and the rate of fallers

E. qualitative criteria describing the drug review

F. associated care costs

Enrollment: 49 patients

Sex: All

Ages: 65+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• The patient (or his/her legal representative) must have given his/her informed and signed consent
• The patient must be insured or beneficiary of a health insurance plan
• The patient is available for 6 months of follow-up
• The patient has resided at the Nîmes University Hospital Residence for Dependent Elderly for at least the past 6 months

Exclusion criteria

• The patient is participating in another study
• The patient is in an exclusion period determined by a previous study
• The patient is under judicial protection
• The patient (or his/her legal representative) refuses to sign the consent
• It is impossible to correctly inform the patient (or his/her legal representative)
• The patient has resided at the Nîmes University Hospital Residence for Dependent Elderly for less than 6 months

Trial design

Primary purpose: Prevention

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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49 participants in 1 patient group

The study population

Other group

Description:

See inclusion and exclusion criteria. Intervention: Before-after study

Treatment:

Other: Before-after study