Quach 2015.
Study characteristics | ||
Methods |
RCT. RCT ‐ individual to determine the impact of an early medication reconciliation (MR) in patients evaluated in the emergency department (ED) and identify barriers to reconciling medication in the ED. Unit of allocation: patients Unit of analysis: patients |
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Participants | Patients ≥ 65 years old, taking a high alert medication (i.e. anticoagulants, opioids, insulin), or if the patient’s physician deemed it necessary, from the University of California Davis Medical Center (UCDMC) in Sacramento (N = 307). Elderly IP (ED) |
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Interventions | Intervention Human resources, medication reconciliation Patients agreeing to receive MR were randomly assigned to receive either: Intervention: MR completed prior to admission Control: MR standard of care |
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Outcomes | Discrepancies in prescriptions | |
Notes | No financial support stated No trial number |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | No information provided |
Allocation concealment (selection bias) | Unclear risk | No information provided |
Blinding of participants and personnel (performance bias) All outcomes | Unclear risk | No information provided |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | All unintentional discrepancies were regarded as errors and were then given to a panel of experts for severity ranking (1 = severe error, 4 = non‐significant error). No information provided on the main outcome assessment (unintentional discrepancy) |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | No information provided. |
Selective reporting (reporting bias) | Unclear risk | Insufficient information to permit judgement of ‘Low risk’ or ‘High risk’. |
Conflict of interest | Unclear risk | No description |
Other bias | Unclear risk | No information on baseline characteristics of included patients was provided. "A total of 307 patients were enrolled in the study (treatment = 134 and control = 173". The authors mentioned "barriers to MR included: constant movement of patients on the floor, frequent room changes, patients unable to give history due to acuity, inability to reach family or caregiver, and patients discharge before MR can be completed". |