Preventing Adverse Drug Events With PatientSite

Study Overview
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Brief Summary
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This is a study to better understand the nature and extent of adverse drug events (ADEs), defined as injuries due to prescription medications, in primary care. We will study whether PatientSite (an internet-based communication program for patients and health care providers) can improve clinicians' ability to detect adverse drug events among primary care patients and to mitigate the consequences by sending electronic queries to patients after they receive new medication prescriptions.

Detailed Description
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A drug safety module called MedCheck was developed for PatientSite. This allows physicians to query patients automatically 10 days after they receive a new prescription asking them questions about their new prescription. In this study new enhancements will be tested. Participants will be assigned at random to the intervention group or control group. The intervention group will receive a single electronic PatientSite message asking them questions about the new prescription which is then forwarded to their physician. The control group will receive a generic message about medication safety. To identify adverse drug events, a telephone survey and medical record review will be conducted of patients in the intervention group and controls. This study will run for 12 months.

Official Title
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Preventing Adverse Drug Events With PatientSite

Conditions
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Adverse Drug Event

Intervention / Treatment
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* Other: Medcheck message


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Adult patients >18 Patients that receive a new prescription Proficient in spoken and written english Exclusion Criteria:

Ages Eligible for Study
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Minimum Age: 18 Years

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: Prevention
Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: MedCheck<br>Electronic medication safety queries via PatientSite portal | Other: Medcheck message<br>* Participants selected at random will receive one email message asking them questions about their prescription which will be forwarded to their physician<br>|
| No Intervention: Usual care<br>No electronic medication safety messages via PatientSite portal | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| To prevent adverse drug events with PatientSite. |  | 3 years | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Improve patient satisfaction |  | 3 years | 
| better utilization of services |  | 3 years | 
| improve patient-clinician communication |  | 3 years | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Adverse drug event, Patient safety, Internet portal, PatientSite, Preventive health, Primary care