TY  - JOUR
AU  - Passardi, Alessandro
AU  - Serra, Patrizia
AU  - Donati, Caterina
AU  - Fiori, Federica
AU  - Prati, Sabrina
AU  - Vespignani, Roberto
AU  - Taglioni, Gabriele
AU  - Farfaneti Ghetti, Patrizia
AU  - Martinelli, Giovanni
AU  - Nanni, Oriana
AU  - Altini, Mattia
AU  - Frassineti, Giovanni Luca
AU  - Minguzzi, Martina Vittoria
PY  - 2021
DA  - 2021/12/20
TI  - An Integrated Model to Improve Medication Reconciliation in Oncology: Prospective Interventional Study
JO  - J Med Internet Res
SP  - e31321
VL  - 23
IS  - 12
KW  - medication recognition
KW  - medication reconciliation
KW  - IT platform
KW  - community pharmacies
KW  - healthcare transitions
KW  - pharmacy
KW  - oncology
KW  - drug incompatibility
KW  - information technology
KW  - drug interactions
AB  - Background: Accurate medication reconciliation reduces the risk of drug incompatibilities and adverse events that can occur during transitions in care. Community pharmacies (CPs) are a crucial part of the health care system and could be involved in collecting essential information on conventional and supplementary drugs used at home. Objective: The aim of this paper was to establish an alliance between our cancer institute, Istituto Romagnolo per lo Studio dei Tumori (IRST), and CPs, the latter entrusted with the completion of a pharmacological recognition survey. We also aimed to integrate the national information technology (IT) platform of CPs with the electronic medical records of IRST. Methods: Cancer patients undergoing antiblastic treatments were invited to select a CP taking part in the study and to complete the pharmacological recognition step. The information collected by the pharmacist was sent to the electronic medical records of IRST through the new IT platform, after which the oncologist performed the reconciliation process. Results: A total of 66 CPs completed surveys for 134 patients. An average of 5.9 drugs per patient was used at home, with 12 or more used in the most advanced age groups. Moreover, 60% (80/134) of the patients used nonconventional products or critical foods. Some potential interactions between nonconventional medications and cancer treatments were reported. Conclusions: In the PROF-1 (Progetto di Rete in Oncologia con le Farmacie di comunità della Romagna) study, an alliance was created between our cancer center and CPs to improve medication reconciliation, and a new integrated IT platform was validated. Trial Registration: ClinicalTrials.gov NCT04796142; https://clinicaltrials.gov/ct2/show/NCT04796142 
SN  - 1438-8871
UR  - https://www.jmir.org/2021/12/e31321
UR  - https://doi.org/10.2196/31321
UR  - http://www.ncbi.nlm.nih.gov/pubmed/34932001
DO  - 10.2196/31321
ID  - info:doi/10.2196/31321
ER  -