Clinical trial · Interventional
Pharmacist Discharge Medication Reconciliation Study
The Impact of Pharmacist Discharge Medication Reconciliation on Unintentional Medication Discrepancies From Inpatient Discharges at the Alberta Cancer Board Cross Cancer Institute
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
Adverse drug events can occur commonly due to medication errors during the transition of care in a health care facility. Medication reconciliation is the process of comparing medications and providing an accurate medication list as a resource for prescribers, which is currently only being done upon inpatient admission at the CCI. The purpose of this study is to see if pharmacist medication reconciliation at discharge reduces unintentional medication discrepancies for inpatient discharges.
Conditions
Conditions (1)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Medication Reconciliation | — | UNRESOLVED | — |
Interventions
Interventions (1)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| MRS | Procedure | — | UNRESOLVED |
Design
Arms and outcomes
Arms (0)
[]Primary outcomes (1)
- measure
- MRS Correlation with Treatment Response.
- timeFrame
- up to 1 year
- description
- The percentage of patients with at least one unintentional medication discrepancy after discharge from the Cross Cancer Institute
Secondary outcomes (2)
- measure
- Correlation with Tumor Stage
- timeFrame
- up to 1 year
- description
- The amount of medication discrepancies after discharge that has the potential to cause moderate harm to severe harm.
- measure
- The frequency of each type of unintentional medication discrepancies.
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 18 Years
Show eligibility criteria text
Inclusion Criteria: * Cancer inpatients under the care of Dr. Follett or Dr. Candler * Cancer inpatients to be discharged from the CCI * Patients \>18 years of age * Patients that are taking \>1 medications or herbals total at home. Exclusion Criteria: * Cancer inpatients that are considered radioactive or in "hot rooms" (ie. Selectron patients or patients receiving radiation treatment for thyroid) * Patients that do not remain in hospital \>72 hours * Patients without a home phone number or equivalent contact number. * Language barrier (patients unable to speak or understand English). * Patients that are readmitted and already included into the study.
References
Publications (0)
Data not yet available