What is the clinical evidence from this study?

Study design: Other. Population: Older hospitalized patients (n=230). Intervention: IMPACT-care intervention (multifaceted pharmacist-led intervention) vs. Usual hospital care. Primary outcome: Quality of medication-related discharge documentation assessed using the Complete Medication Documentation at Discharge Measure (CMDD-M).

May 1, 2025BMJ OpenOpen Access

Improved Medication communication and Patient involvement At Care Transitions (IMPACT-care): study protocol for a pre–post intervention trial in older hospitalised patients

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Key result

IMPACT-care evaluates a multifaceted pharmacist-led intervention to improve medication discharge documentation in older patients.

n=230

Why the study?

Care transitions, notably hospital discharge, present patient safety risks, with deficient medication-related discharge communication posing substantial harm to older patients.

Does a multifaceted clinical pharmacist intervention improve the quality of medication-related discharge documentation in older hospitalised patients?

Population

Hospitalised patients aged ≥65 years across two surgical and one geriatric ward in Sweden

Comparison

Multifaceted pharmacist-led intervention vs usual hospital care

Design

Pre-post intervention study

Authors

HCHenrik CamUppsala University KFKristin FranzonUppsala University VÖVictoria ÖstmanUppsala University

Discussion

Member takes

Implication

Impact of pharmacist-led discharge documentation intervention remains unknown; leaves open the question for older hospitalized patients.

Structured PICO

Does a multifaceted clinical pharmacist intervention improve the quality of medication-related discharge documentation in older hospitalised patients?

Population

230 older hospitalised patients aged ≥65 years, managing their own medications independently or with informal caregiver support, admitted to two surgical and one geriatric ward of a university hospital in Sweden.

Intervention

Multifaceted intervention performed by clinical pharmacists comprising: (1) information package provided to patients and/or informal caregivers, (2) preparation of medication-related discharge documentation, (3) facilitation of discharge communication, and (4) follow-up call to patients or their informal caregiver.

Comparator

Usual hospital care (during a pre-intervention control period).

Outcome

Quality of medication-related discharge documentation, assessed using the Complete Medication Documentation at Discharge Measure (CMDD-M).

This study protocol outlines a pre-post trial evaluating a clinical pharmacist-led intervention to improve medication communication at discharge for older hospitalized patients.

Limitations

The pre-post design without randomisation limits the ability to establish causal relationships between intervention and observed outcomes.
Due to the complex, multifaceted nature of the intervention, it is not possible to determine which specific intervention components contribute most to the observed effects.

Cite This Study

Cam et al. (2025) studied Older hospitalized patients (n=230). IMPACT-care intervention (multifaceted pharmacist-led intervention) vs. Usual hospital care was evaluated on Quality of medication-related discharge documentation assessed using the Complete Medication Documentation at Discharge Measure (CMDD-M). The IMPACT-care trial is a planned pre-post intervention study designed to evaluate whether a multifaceted pharmacist-led intervention improves medication-related discharge documentation in older patients.

synapsesocial.com/papers/6a0f08382eca052da64808cb https://doi.org/10.1136/bmjopen-2025-099547

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Improved Medication communication and Patient involvement At Care Transitions (IMPACT-care): study protocol for a pre–post intervention trial in older hospitalised patients

Discussion

Member takes

Implication

Structured PICO

Limitations

Cite This Study

Improved Medication communication and Patient involvement At Care Transitions (IMPACT-care): study protocol for a pre–post intervention trial in older hospitalised patients

Discussion

Member takes

Implication

Structured PICO

Limitations

Cite This Study

Also Consider

Also Consider