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. 2015 Oct 16;21(8):10.18553/jmcp.2015.21.8.614. doi: 10.18553/jmcp.2015.21.8.614
Cluster Data Abbreviation Data Description
Study reference Author Primary author of reference
Full title Full title
YoP Year of publication
YoE Year of execution
Study design Design Design of study
Specific setting of study Multi/single center
Type of hospital
Number of beds
Specific wards?
Country Country where study was performed
Funding Was the study funded?
C.o.I. Have the authors reported a conflict of interest?
Objective Description of the main objective of the conducted study
Method Inclusion criteria All inclusion criteria as reported in original study
Exclusion criteria All exclusion criteria as reported in original study
Usual care Description of usual care
Years of experience Years of experience from the performer
Protocol training What kind of training was received by personnel performing the intervention?
According to protocol Did the personnel have protocols to perform the intervention?
Who is collaborating with the pharmacist? Who: Which other health care providers performed an intervention?
What: Describe the intervention of the OTHER health care provider
Communication: How did they communicate?
Access to medical information Does the performing pharmacist have access to medical information and in what way?
Pharmacy intervention When: At what time during hospitalization is the pharmacy intervention performed?
What: Description of intervention performed
Who: Which member of the pharmacy staff is performing the intervention?
Time spent: Total time spent of intervention
Patient characteristics Total Nr. assessed Number of patients that are assessed for eligibility in the study
Total Nr. randomized Number of patients that are randomized in the study
Significant differences at baseline Are there significant differences at baseline?
Describe the differences
Nr. randomized patients: I and C Number of patients in intervention group and control group after randomization
Male % Percentage of men in study
Age: I and C Mean age, range and standard deviation of intervention and control groups
Health state Main: Primary diagnosis of population group (e.g., heart failure)
Total number of comorbidities
How are the total number of comorbidities measured?
Nr. medication When: At what time during hospitalization?
Mean number, range, and standard deviation of medication in intervention and control groups
% living alone: I and C Percentage living alone in intervention and control groups
Nr of hospitalizations Mean number of previous hospitalizations in intervention and control groups
Time: during which time frame?
Other demographic information If mentioned in study, for example, education, ethnicity, social class
Outcomes Outcomes Outcome in short
Primary outcome
Definition: report the outcome as described by authors
Method: how is the outcome measured?
When: when is the outcome measured (=endpoint)?
What: what is exactly measured?
Nr. of patients analyzed Number of patients in intervention group and control group for analysis
Characteristics of the (different) outcomes
Statistics of the outcomes
Other outcomes Definition, method, endpoint of measurement, percentages, significance
Other Limitations Limitations as mentioned by the authors
Conclusion Conclusion as mentioned by the authors
Comments Relevant/notable comments
Reviewer Name Clementine Stuijt or Rik Ensing
Date Date of data extraction
Check Checked by second reviewer: type name