Timely post-discharge medication reviews to Improve Continuity—the Transitions Of Care stewardship (TIC TOC) study in rural and regional Australia: a parallel-group randomised controlled trial study protocol

Title
Timely post-discharge medication reviews to Improve Continuity—the Transitions Of Care stewardship (TIC TOC) study in rural and regional Australia: a parallel-group randomised controlled trial study protocol
Publication Date
2025-06
Author(s)
Penm, Jonathan
Yeung, Kingston
Moles, Rebekah Jane
Criddle, Deirdre
Elliott, Rohan A
Rigby, Deborah
Shakib, Sepehr
Sanfilippo, Frank Mario
Carter, Stephen Ross
Budgeon, Charley
Nguyen, Kim
Yates, Paul
Phillips, Katie
Yik, Jerry
McMillan, Faye
Hawthorne, Deborah
Fleming, Cristen
Packer, Anna
Krogh, Linda
Poon, Simon K
Chambers, Brett
Liu, Shania
Emadi, Fatemeh
Chen, Jenny
Englezos, Klaudia
Ratnanayagam, Ganga
Penm, Michelle
Hawthorne, Andrew
Khlentzos, Alexander
Khlentzos, Jilian
Angley, Manya
Type of document
Journal Article
Language
en
Entity Type
Publication
Publisher
BMJ Group
Place of publication
United Kingdom
DOI
10.1136/bmjopen-2025-100588
UNE publication id
une:1959.11/73823
Abstract

Introduction Transition of care from hospital is a period when the risks of medication errors and adverse events are high, with 50% of adults discharged having at least one medication-related problem. Pharmacist-led medication reviews can reduce medication errors and unplanned readmission when completed promptly postdischarge; however, they are underutilised. A Transition of Care Stewardship pharmacist has been proposed to facilitate and coordinate a patient’s discharge process and facilitate a timely post-discharge medication review. Access to pharmacist medication review in rural and regional areas can be limited. This protocol describes a randomised controlled trial (RCT) to determine whether a virtual Transition of Care Stewardship pharmacist reduces medication-related harm in rural and regional Australia.

Method and analysis Multicentre RCT involving patients at high risk of medication-related harm discharged from regional and rural hospitals to a domiciliary residence. Eligible patients must be aged≥18 years, admitted under a medical specialty, be discharged to a domiciliary setting, have a regular general practitioner (GP) or be willing to visit a GP or an Aboriginal Medical Service after discharge for medical follow-up, have a Medicare card and be at high risk of readmission. High risk of readmission is defined as either a previous admission to the hospital or Emergency Department (ED) presentation in the past 6 months AND≥three regular medications OR on at least ONE high-risk medication. A total of 922 participants will be recruited into the study. Enrolled participants will be randomised to the intervention or control (usual care). The intervention will include a virtual Transition Of Care Stewardship pharmacist to ensure that patients receive discharge medication reconciliation, medication counselling, medication list and communicate directly with primary care providers to facilitate a timely post-discharge medication review. Usual care will include informing the patient’s clinical inpatient treating team that the patient is at high risk of medication misadventure and may benefit from a post-discharge Home Medicines Review (a GPreferred pharmacist medication review funded by the Australian Government).

Data analysis will be performed on a modified intent-totreat basis. The primary outcome assessed is a composite of a first unplanned medication-related hospitalisation or ED presentation within 30 days of hospital discharge. Comparisons between the intervention and usual care groups for the primary outcome will be made using a mixed-effects logistic regression model, adjusting for site-level clustering as a random effect.

Link
Citation
BMJ Open, 15(6), p. 1-10
ISSN
2044-6055
Start page
1
End page
10
Rights
Attribution-NonCommercial 4.0 International

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