Efficacy of the Pre-Admission Medication List (PAML) Builder Reminder Prompts

Study Overview
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Brief Summary
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This project will study whether reminder prompts increase PAML Builder application feature utilization.

Detailed Description
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This project will study whether reminder prompts increase Pre-Admission Medication List (PAML) Builder application feature utilization. PAML Builder is an application designed and maintained by Partners Information Systems that assists clinicians in medication reconciliation - a process important for patient safety and quality of care. We have determined that several potentially helpful features of the application are not being utilized as frequently as had been expected. These features include: copying the pre-admission medication list (PAML) to the clipboard viewing the detailed audit trail of all changes made to the PAML sorting the list of medications obtained from other electronic sources by therapeutic class. Reminder prompts (sometimes referred to as Tip of the Day) have been employed to increase user awareness of underutilized application features. However, anecdotally some users find them unhelpful and potentially irritating. It is therefore important to determine whether reminder prompts accomplish the stated task of increasing application feature utilization. This project will compare PAML Builder application feature utilization before and after a pilot rollout of reminder prompts to determine whether they should be implemented permanently.

Official Title
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Effect of Reminder Prompts on Utilization of the PAML Builder Application Features

Conditions
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Utilization of Software Application Features

Intervention / Treatment
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* Other: Reminders


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: users of the PAML Builder application (physicians, nurses, pharmacists) Exclusion Criteria: none
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: A<br>Receives the intervention (reminders displayed at the startup of the application) for both periods (period 1 and period 2) of the study. | Other: Reminders<br>* Users of the PAML Builder application will receive reminders about three application features (copy/paste, audit trail, sort medications by class) at the startup of the application<br>|
| Active Comparator: B<br>Receives the intervention (reminders displayed at the application startup) only during the second period (period 2) of the study. | Other: Reminders<br>* Users of the PAML Builder application will receive reminders about three application features (copy/paste, audit trail, sort medications by class) at the startup of the application<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Difference in the change between combined frequency of utilization of all features promoted by the reminders per PAML built between the two arms from period 1 (intervention in one arm only) to period 2 (intervention in both arms). |  | The entire study period | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Difference in the change between frequencies of utilization of the individual features promoted by the reminders per PAML built between the two arms from period 1 (intervention in one arm only) to period 2 (intervention in both arms). |  | The entire study period | 
| Difference in the change between combined frequency of utilization of all features promoted by the reminders per PAML built between the two arms from period 1 to period 2 by the users who were displayed the corresponding reminder. |  | The entire study period | 
| Difference in the change between frequencies of utilization of the individual features promoted by the reminders per PAML built between the two arms from period 1 to period 2 by the users who were displayed the corresponding reminders. |  | The entire study period. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Medical Informatics Applications, Software, Utilization