Findings

What do systematic reviews say?

208 questions · 211 findings · 15 reviews · Effective Practice and Organisation of Care

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No studies found 90 · 42.7%GRADE not reported 0 · 0%Very low 39 · 18.5%Low 56 · 26.5%Moderate 22 · 10.4%High 4 · 1.9%

Proactive ethics consultation vs usual care

Moral distress · adult participants

The review found no eligible studies for this question.

1 finding from 1 review

Ethical case interventions for adult patients 2019 · Cochrane Headline outcomes only
no estimate extracted
Studies not reported
No studies found

Proactive ethics consultation vs usual care

Patient involvement in decision‐making · adult participants

The review found no eligible studies for this question.

1 finding from 1 review

Ethical case interventions for adult patients 2019 · Cochrane Headline outcomes only
no estimate extracted
Studies not reported
No studies found

Proactive ethics consultation vs usual care

Health‐related quality of life · adult participants

The review found no eligible studies for this question.

1 finding from 1 review

Ethical case interventions for adult patients 2019 · Cochrane Headline outcomes only
no estimate extracted
Studies not reported
No studies found

Proactive ethics consultation vs usual care

Ethical competency · adult participants

The review found no eligible studies for this question.

1 finding from 1 review

Ethical case interventions for adult patients 2019 · Cochrane Headline outcomes only
no estimate extracted
Studies not reported
No studies found

Proactive ethics consultation vs usual care

Satisfaction with care · adult participants

1 finding from 1 review

Ethical case interventions for adult patients 2019 · Cochrane Headline outcomes only
no estimate extracted
478 participants
Very low

Request‐based ethics consultation vs usual care

Decisional conflict · adult participants

1 finding from 1 review

Ethical case interventions for adult patients 2019 · Cochrane Headline outcomes only
no estimate extracted
62 participants
Very low

Request‐based ethics consultation vs usual care

Moral distress · adult participants

The review found no eligible studies for this question.

1 finding from 1 review

Ethical case interventions for adult patients 2019 · Cochrane Headline outcomes only
no estimate extracted
Studies not reported
No studies found

Request‐based ethics consultation vs usual care

Patient involvement in decision‐making · adult participants

The review found no eligible studies for this question.

1 finding from 1 review

Ethical case interventions for adult patients 2019 · Cochrane Headline outcomes only
no estimate extracted
Studies not reported
No studies found

Medication reconciliation interventions vs usual care

≥ 1 medication discrepancy per participant (dichotomous) · all patients (aged > 18 years) at a transition of care

It is very uncertain whether medication reconciliation interventions changes ≥ 1 medication discrepancy per participant (dichotomous) compared with standard care (very low certainty).

1 finding from 1 review

Impact of medication reconciliation for improving transitions of care 2018 · Cochrane Headline outcomes only
RR 0.53 [0.42, 0.67]
20 studies · 4629 participants
Very low

Medication reconciliation interventions vs usual care

Discrepancies per participant medication · all patients (aged > 18 years) at a transition of care

2 findings from 1 review

Impact of medication reconciliation for improving transitions of care 2018 · Cochrane Headline outcomes only
no estimate extracted
4 studies · 1963 participants
Very low
Impact of medication reconciliation for improving transitions of care 2018 · Cochrane Headline outcomes only
RR 0.13 [0.01, 1.29]
2 studies · 3595 participants
Very low

Medication reconciliation interventions vs usual care

PADEs · all patients (aged > 18 years) at a transition of care

It is very uncertain whether medication reconciliation interventions changes PADEs compared with standard care (very low certainty).

1 finding from 1 review

Impact of medication reconciliation for improving transitions of care 2018 · Cochrane Headline outcomes only
RR 0.37 [0.09, 1.57]
3 studies · 1253 participants
Very low

Medication reconciliation interventions vs usual care

ADEs ( · all patients (aged > 18 years) at a transition of care

Medication reconciliation interventions showed no clear difference in ADEs compared with standard care (low certainty).

1 finding from 1 review

Impact of medication reconciliation for improving transitions of care 2018 · Cochrane Headline outcomes only
RR 1.09 [0.91, 1.3]
4 studies · 1363 participants
Low

Medication reconciliation interventions vs usual care

Unplanned rehospitalisation · all patients (aged > 18 years) at a transition of care

Medication reconciliation interventions showed no clear difference in unplanned rehospitalisation compared with standard care (moderate certainty).

1 finding from 1 review

Impact of medication reconciliation for improving transitions of care 2018 · Cochrane Headline outcomes only
RR 0.72 [0.44, 1.18]
5 studies · 1206 participants
Moderate

Intervention not reported

Adverse drug events · older people (aged 65 years or older) living in care homes

1 finding from 1 review

Interventions to optimise prescribing for older people in care homes 2016 · Cochrane Headline outcomes only
no estimate extracted
2 studies · 1228 participants
Low

Intervention not reported

Hospital admissions · older people (aged 65 years or older) living in care homes

1 finding from 1 review

Interventions to optimise prescribing for older people in care homes 2016 · Cochrane Headline outcomes only
no estimate extracted
8 studies · 7606 participants
Low

Intervention not reported

Mortality · older people (aged 65 years or older) living in care homes

1 finding from 1 review

Interventions to optimise prescribing for older people in care homes 2016 · Cochrane Headline outcomes only
no estimate extracted
6 studies · 6805 participants
Low

Intervention not reported

Quality of life · older people (aged 65 years or older) living in care homes

1 finding from 1 review

Interventions to optimise prescribing for older people in care homes 2016 · Cochrane Headline outcomes only
no estimate extracted
2 studies · 586 participants
Low

Intervention not reported

Medication‐related problems · older people (aged 65 years or older) living in care homes

1 finding from 1 review

Interventions to optimise prescribing for older people in care homes 2016 · Cochrane Headline outcomes only
no estimate extracted
7 studies · 6640 participants
Low

Intervention not reported

Medication appropriateness · older people (aged 65 years or older) living in care homes

1 finding from 1 review

Interventions to optimise prescribing for older people in care homes 2016 · Cochrane Headline outcomes only
no estimate extracted
5 studies · 1566 participants
Low

Intervention not reported

Medicine costs · older people (aged 65 years or older) living in care homes

1 finding from 1 review

Interventions to optimise prescribing for older people in care homes 2016 · Cochrane Headline outcomes only
no estimate extracted
5 studies · 4734 participants
Very low