Preventing Medication-Related Problems in Care Transitions to Skilled Nursing Facilities Using a Pharmacy Integrated Transitional Team
| Registry | NCT05241951 |
|---|---|
| Status | Completed |
| Phase | Not applicable |
| Study type | Interventional; randomized, crossover, masking: none, health services research |
| Enrollment | 1052 (Actual) |
| Sponsor | University of Washington (Other); collaborators: Agency for Healthcare Research and Quality (AHRQ) |
| Conditions | Care Transition |
| Interventions | Structured hand-off, Medication reconciliation during transitional period, Transitional medication monitoring, Teleconsultation (Other) |
| Dates | start 2022-01-31, primary completion 2024-03-01, completion 2025-10-31, first posted 2022-02-16, last updated 2025-11-24 |
| Locations | 1 site in United States |
Related Papers Related Patents Related Grants Related Experts
All trials for Care Transition All trials of Structured hand-off All trials of Medication reconciliation during transitional period
The Pharmacy Integrated Transitions (PIT) program, utilizes a crossover randomized control design to evaluate the impact of a clinical pharmacist in decreasing medication related problems during a patient's transition from hospital to skilled nursing facility (SNF).
Standard hospital discharge processes (e.g. as recommended by the Joint Commission Center for Transforming Healthcare), include hospital staff completing a paper-based discharge summary and medication reconciliation form. To reduce the likelihood of medication-related problems during care transitions, the Pharmacy Integrated Transitions (PIT) program aims to improve the standard transition process by adding a coordinating transitional pharmacist to provide a structured synchronous "warm-handoff" between clinical teams at the hospital and the Skilled Nursing Facility, in addition to reconciling, adjusting, and monitoring medications during and after discharge from the hospital.
| Arm | Type | Interventions | Description |
|---|---|---|---|
| Clinical Pharmacist in Transition of Care | Experimental | Other: Structured hand-off; Other: Medication reconciliation during transitional period; Other: Transitional medication monitoring; Other: Teleconsultation | A clinical pharmacist will be provided as a patient discharges from one of four University of Washington (UW) medical centers to one of 14 post acute skilled nursing facilities randomized to the intervention arm. The coordinating transitional pharmacist will conduct (1) a comprehensive medication review including medication reconciliation, adjustment, and monitoring during the transitional period from hospital to SNF, 2) a structured handoff between clinical teams at the hospital and SNF. |
| Patient transitions from hospital to post-acute care | No intervention | Patient will transition from one of four University of Washington (UW) medical centers to one of 14 post-acute skilled nursing facilities randomized to the control arm. Patients will receive the standard discharge process. |
Sex: All, ages: 18 Years to any
Inclusion Criteria: * 18 years of age and older * patients receiving inpatient care at University of Washington Mountlake, University of Washington Northwest, Harborview, and Valley Medical Center hospitals to one of 14 collaborating SNF's on a day when the PIT program pharmacist is conducting the intervention Exclusion Criteria: * Under 18 years of age * patients with a discharge on hospice care * patients discharged on days that the pharmacist is not conducting the intervention
| Facility | City | Country | Status |
|---|---|---|---|
| University of Washington Health System | Seattle, Washington | United States |