What question did this study set out to answer?

The aim is to create a pharmacy-led transition of care program to reduce hospital readmissions and enhance medication safety for patients post-myocardial infarction.

April 12, 2026BMC Health Services ResearchOpen Access

Applying the consolidated framework for implementation research to guide the development, implementation, and evaluation of a cardiology transitions of care program (RECARD trial)

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Why the study?

Does a pharmacy-led Transition of Care intervention reduce unplanned readmissions due to medication harm within 30 days in patients following acute type 1 myocardial infarction or coronary revascularisation procedures compared to usual care?

Population

Patients following acute type 1 myocardial infarction or coronary revascularisation procedures

Comparison

Pharmacy-led Transition of Care intervention… vs Retrospective historical cohort receiving usual…

Design

Other

Follow-up

30 days

Authors

SWShelley Wilkinson KGKeshia De GuzmanQueensland Health NFNazanin FalconerThe University of Queensland

Discussion

Member takes

Implication

This theoretical paper outlines a multidimensional implementation science approach to design and evaluate a pharmacy-led transition of care intervention for high-risk cardiology patients in Australia.

Key Points

The aim is to create a pharmacy-led transition of care program to reduce hospital readmissions and enhance medication safety for patients post-myocardial infarction.
Develop a model using the Consolidated Framework for Implementation Research (CFIR)
Integrate patient co-design with healthcare professionals
Use focus groups and Yarning circles to refine intervention
Apply the RE-AIM framework for evaluation and sustainability
Conduct a pre-post interventional trial across three quaternary hospitals
Implementation plan addresses barriers and enablers through stakeholder engagement
The RECARD model aims to optimize medication management based on local needs
Intends to compare outcomes between a cohort receiving tailored ToC activities and a historical cohort

Structured PICO

Population

Patients following acute type 1 myocardial infarction or coronary revascularisation procedures

Intervention

Pharmacy-led Transition of Care (ToC) intervention (RECARD ToC model) delivered as an Adaptive ToC Pathway involving pharmacists, nurse practitioners, and Indigenous health workers

Comparator

Retrospective historical cohort receiving usual care

Outcome

Unplanned readmissions due to medication harm within 30 dayshard clinical

Cite This Study

Wilkinson et al. (2026) studied this question.

synapsesocial.com/papers/69db38274fe01fead37c6463 https://doi.org/10.1186/s12913-026-14501-6

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Applying the consolidated framework for implementation research to guide the development, implementation, and evaluation of a cardiology transitions of care program (RECARD trial)

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Applying the consolidated framework for implementation research to guide the development, implementation, and evaluation of a cardiology transitions of care program (RECARD trial)

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Also Consider

Also Consider