Medication Assessment Through Real Time Information eXchange - Distributed Pharmaceutical Record System

Study Overview
=================
Brief Summary
-----------------
The aim of MATRIX-DPRS is to assess the clinical and organizational impacts of the use of the medication record, opened, filled and managed by pharmacists (from private office and hospital units) by hospital physicians in private and public healthcare establishments (volunteers), for three clinical contexts: anaesthesiology visit before surgery, medications abuse and emergency hospitalization, medications and elderly hospitalisations.

Detailed Description
-----------------
As part of the national 2012 PREPS call for proposals, a multidisciplinary research team was set up to design and develop methods in order to evaluate the efficiency and the performance of health data information systems. This team is composed of physicians and researchers in medical informatics, hospital information systems, biostatistics, process analysis and management in healthcare, ergonomics and usability. This study was aimed to evaluate the clinical and organizational impacts of the use of a new source of information brought by the pharmaceutical record, promoted by the national committee of pharmacists. This record is opened and filled for each patient by the pharmacist. It contains all the medication sold (prescribed by physician and OTC) by the patient. This record is used by almost all the private pharmacists. The French Health Ministry was looking for an evaluation of this new source of information by hospital physicians in order to be applied by any healthcare institution or organization wishing to evaluate the added value of its investments or recommendations (example: ARS (French Regional Health Agency), DGOS (French Directorate General of Health Services), etc.) in the information system.

Official Title
-----------------
Medication Assessment Through Real Time Information eXchange - Distributed Pharmaceutical Record System

Conditions
-----------------
Patients With Pharmaceutical Record

Intervention / Treatment
-----------------
* Other: Opening of the Pharmaceutical Record


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Concerning Anesthesia department: Patients in pre-anesthesia consultation for scheduled intervention. Concerning Emergencies department: Patients admitted for fainting fit Regarding patients hospitalized in geriatrics: Patients admitted to geriatrics Exclusion Criteria: Minors Patients without administrative or judicial freedom if the authorization of the legal representative can not be collected.

Ages Eligible for Study
-----------------
Minimum Age: 18 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Patients with Pharmaceutical Record<br> | Other: Opening of the Pharmaceutical Record<br>* After a first prescription without the pharmaceutical record, the study investigator has to open the pharmaceutical record to obtain some additional data. After, he has to choose between maintain or modify his first prescription.<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Modification of the medical prescription linked to the use of the pharmaceutical record | The primary outcome measure is to evaluate the impact of the use of the pharmaceutical record on th medical prescription. The doctor writes a first medical prescription without using the pharmaceutical record and a second with the pharmaceutical record.The changes are analyzed. | 3 months |