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COMPLETEDNA

Preventing Medication-Related Problems in Care Transitions to Skilled Nursing Facilities

Preventing Medication-Related Problems in Care Transitions to Skilled Nursing Facilities Using a Pharmacy Integrated Transitional Team

NCT05241951•University of Washington

View on ClinicalTrials.gov

Summary

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).

Detailed Description

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.

Eligibility

Age

18 - No limit years

Sex

ALL

Healthy Volunteers

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

Locations (1)

University of Washington Health System

Seattle, Washington, United States

Key Dates

Start Date

January 31, 2022

Primary Completion Date

March 1, 2024

Completion Date

October 31, 2025

Last Updated

November 24, 2025

Enrollment

1,052

ACTUAL participants

Conditions

Care Transition

Interventions

Structured hand-off

OTHER

Medication reconciliation during transitional period

OTHER

Transitional medication monitoring

OTHER

Teleconsultation

OTHER

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Data Source & Attribution

This clinical trial information is sourced from ClinicalTrials.gov, a service of the U.S. National Institutes of Health.

ClinicalTrials.gov last update: November 24, 2025Data synced to Clareo: March 29, 2026

Modifications: This data has been reformatted for display purposes. Eligibility criteria have been parsed into inclusion/exclusion sections. Location data has been geocoded to enable distance-based search. For the authoritative and most current information, please visit ClinicalTrials.gov.

Neither the United States Government nor Clareo Health make any warranties regarding the data. Check ClinicalTrials.gov frequently for updates.

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Preventing Medication-Related Problems in Care Transitions to Skilled Nursing Facilities

Inclusion Criteria

Exclusion Criteria

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